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Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China

IMPORTANCE: Pediatric palliative care (PPC) is an interdisciplinary collaboration that focuses on the prevention and relief of patient suffering. PPC has emerged as a critical field of medical expertise and practice. However, no information is available regarding the progress of PPC in the Chinese m...

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Autores principales: Cai, Siyu, Guo, Qiaohong, Wang, Xianjing, Wang, Ruixin, Yang, Peiyi, Zhou, Yuchen, Luo, Yanhui, Zhou, Xuan, Peng, Xiaoxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8666946/
https://www.ncbi.nlm.nih.gov/pubmed/34938967
http://dx.doi.org/10.1002/ped4.12291
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author Cai, Siyu
Guo, Qiaohong
Wang, Xianjing
Wang, Ruixin
Yang, Peiyi
Zhou, Yuchen
Luo, Yanhui
Zhou, Xuan
Peng, Xiaoxia
author_facet Cai, Siyu
Guo, Qiaohong
Wang, Xianjing
Wang, Ruixin
Yang, Peiyi
Zhou, Yuchen
Luo, Yanhui
Zhou, Xuan
Peng, Xiaoxia
author_sort Cai, Siyu
collection PubMed
description IMPORTANCE: Pediatric palliative care (PPC) is an interdisciplinary collaboration that focuses on the prevention and relief of patient suffering. PPC has emerged as a critical field of medical expertise and practice. However, no information is available regarding the progress of PPC in the Chinese mainland. OBJECTIVE: This study investigated the geographic distribution, team structure, and services of PPC teams in the Chinese mainland. It also investigated the level of understanding and implementation among pediatric oncologists regarding PPC. METHODS: The PPC subspecialty group of the Pediatrics Society of the Chinese Medical Association included 45 PPC teams. The team structure and services were investigated using questionnaires mailed to the team leader of each PPC team. In addition, we sent questionnaires regarding the level of PPC understanding and implementation of PPC practices to 170 pediatric oncologists in 11 hospitals. RESULTS: The geographical distribution of PPC teams is uneven in China. Most PPC teams are concentrated in the eastern provincial capital of China. Most PPC teams had limited staff and services. The level of PPC understanding was considerably limited across all demographics; most pediatric oncologists reported “some understanding” (n = 71, 41.8%) or “poor understanding” (n = 50, 29.4%). Only 62.9% of pediatric oncologists had experience providing advice to family members regarding PPC matters. INTERPRETATION: China is currently experiencing a critical shortage of PPC resources. Most pediatric oncologists had a limited understanding of PPC and reported limited practical implementation of PPC, which leads to underutilization of PPC resources.
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spelling pubmed-86669462021-12-21 Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China Cai, Siyu Guo, Qiaohong Wang, Xianjing Wang, Ruixin Yang, Peiyi Zhou, Yuchen Luo, Yanhui Zhou, Xuan Peng, Xiaoxia Pediatr Investig Original Article IMPORTANCE: Pediatric palliative care (PPC) is an interdisciplinary collaboration that focuses on the prevention and relief of patient suffering. PPC has emerged as a critical field of medical expertise and practice. However, no information is available regarding the progress of PPC in the Chinese mainland. OBJECTIVE: This study investigated the geographic distribution, team structure, and services of PPC teams in the Chinese mainland. It also investigated the level of understanding and implementation among pediatric oncologists regarding PPC. METHODS: The PPC subspecialty group of the Pediatrics Society of the Chinese Medical Association included 45 PPC teams. The team structure and services were investigated using questionnaires mailed to the team leader of each PPC team. In addition, we sent questionnaires regarding the level of PPC understanding and implementation of PPC practices to 170 pediatric oncologists in 11 hospitals. RESULTS: The geographical distribution of PPC teams is uneven in China. Most PPC teams are concentrated in the eastern provincial capital of China. Most PPC teams had limited staff and services. The level of PPC understanding was considerably limited across all demographics; most pediatric oncologists reported “some understanding” (n = 71, 41.8%) or “poor understanding” (n = 50, 29.4%). Only 62.9% of pediatric oncologists had experience providing advice to family members regarding PPC matters. INTERPRETATION: China is currently experiencing a critical shortage of PPC resources. Most pediatric oncologists had a limited understanding of PPC and reported limited practical implementation of PPC, which leads to underutilization of PPC resources. John Wiley and Sons Inc. 2021-09-27 /pmc/articles/PMC8666946/ /pubmed/34938967 http://dx.doi.org/10.1002/ped4.12291 Text en © 2021 Chinese Medical Association. Pediatric Investigation published by John Wiley & Sons Australia, Ltd on behalf of Futang Research Center of Pediatric Development. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Article
Cai, Siyu
Guo, Qiaohong
Wang, Xianjing
Wang, Ruixin
Yang, Peiyi
Zhou, Yuchen
Luo, Yanhui
Zhou, Xuan
Peng, Xiaoxia
Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title_full Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title_fullStr Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title_full_unstemmed Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title_short Development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in China
title_sort development levels of pediatric palliative care teams and the extent of palliative care understanding and implementation among pediatric oncologists in china
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8666946/
https://www.ncbi.nlm.nih.gov/pubmed/34938967
http://dx.doi.org/10.1002/ped4.12291
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