当前位置： SCI文献检索 > JOURNAL OF PALLIATIVE MEDICINE期刊下所有文献 > Australian survey of current practice and guideline use in adult cancer pain assessment and management: perspectives of palliative care physicians.

Australian survey of current practice and guideline use in adult cancer pain assessment and management: perspectives of palliative care physicians.

Abstract：

BACKGROUND:Cancer pain continues to be undertreated, despite the availability of evidence-based guidelines. The Australian National Pain Strategy identified establishment of systems and guidelines to adequately manage cancer pain as a high priority. OBJECTIVES:This study aimed to identify barriers and facilitators to adult cancer pain assessment and management as perceived by Australian health professionals; establish the perceived need for new Australian guidelines and implementation strategies; identify which guidelines are used; and identify barriers and facilitators to guideline use. This article focuses on the perceptions of responding palliative care physicians. DESIGN:A cross-sectional survey was administered online. PARTICIPANTS:Invitations were circulated via peak bodies and clinical leaders. Comments were coded independently by two researchers. RESULTS:Ninety-two palliative care physicians responded to the survey; 39% of the national total. The majority reported barriers to pain management, including insufficient access to nonpharmacologic interventions, poor coordination between services, and management challenges posed by comorbidities. Forty-five percent reported using pain guidelines, most commonly the Australian Therapeutic Guidelines-Palliative Care. Respondents were largely supportive of the development of new Australian guidelines and implementation strategies, in particular any offering advice on specific cases of cancer pain (e.g., neuropathic), patient self-management resources, assessment of patient priorities, and disciplinary roles. CONCLUSION:Barriers to evidence-based practice identified by our survey might be addressed via strategies to support decision making and coordination of care (e.g., a clinical pathway). Particular attention should be paid to promoting access to nonpharmacologic interventions and patient education, and improving referral and care coordination.

journal_name

J Palliat Med

journal_title

Journal of palliative medicine

authors

Lovell M,Agar M,Luckett T,Davidson PM,Green A,Clayton J

doi

10.1089/jpm.2013.0245

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1403-9

issue

eissn

1096-6218

issn

1557-7740

journal_volume

pub_type

杂志文章

在线工具

Australian survey of current practice and guideline use in adult cancer pain assessment and management: perspectives of palliative care physicians.