当前位置： SCI文献检索 > JOURNAL OF PAIN AND SYMPTOM MANAGEMENT期刊下所有文献 > Perceived success in addressing end-of-life care needs of low-income elders and their families: what has family conflict got to do with it?

Perceived success in addressing end-of-life care needs of low-income elders and their families: what has family conflict got to do with it?

Abstract：

:The purpose of this study was to examine the predictors of perceived success in addressing the end-of-life care needs of low-income older adults and their family members. Perceived success is defined as the clinician's subjective assessment of the extent to which end-of-life care needs of the patient and family have been met by the interdisciplinary team. The results are drawn from a larger longitudinal multimethod case study designed to understand how end-of-life care is provided to a diverse group of frail elders in an innovative, fully "integrated," managed care program. Data were generated from 120 social work surveys detailing care experiences and outcomes particular to 120 elder deaths. Significant predictors of perceived success for addressing patient needs included patient care needs (β=0.17, P≤0.05), race (β=0.19, P≤0.05), patient preferences elicited (β=0.29, P≤0.01) and honored (β=0.20, P≤0.05), and family conflict (β=-0.24, P≤0.01). Significant predictors of perceived success for addressing family needs included family care needs (β=0.30, P≤0.001), team and administrative resources (β=0.19, P≤0.01), patient preferences honored (β=0.16, P≤0.05), quality of relationship with patient (β=0.27, P≤0.001) and family (β=0.23, P≤0.01), and family conflict (β=-0.31, P≤0.001). This study provides preliminary evidence of differential correlates and predictors of perceived success for addressing patient and family needs, highlighting the detrimental influence of family conflict. Future research is needed to better understand the kinds of assessment and intervention protocols that might prevent or ameliorate conflict and enhance structures and process-of-care variables to facilitate more successful outcomes.

journal_name

J Pain Symptom Manage

journal_title

Journal of pain and symptom management

authors

Kramer BJ,Yonker JA

doi

10.1016/j.jpainsymman.2010.04.017

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

35-48

issue

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(10)00531-2

journal_volume

pub_type

杂志文章

在线工具

Perceived success in addressing end-of-life care needs of low-income elders and their families: what has family conflict got to do with it?