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Bereavement practices of physicians in oncology and palliative care
Archives of Internal Medicine, 05/27/09
Chau NG et al. - In a trial to evaluate the frequency and nature of bereavement practices among medical oncologists (MOs), radiation oncologists (ROs), and palliative care specialists (PCs); and to identify factors associated with bereavement follow-up, it was shown that few cancer physicians provide bereavement follow-up routinely. This suggests that consensus is lacking among cancer physicians regarding their role in bereavement care.
Methods- Survey of all Canadian MOs, ROs, and PCs via their respective national organizations using an anonymous electronic and postal mail survey.
- 535 of 756 eligible physicians completed the survey (71%).
- 33.3% of respondents indicated that they usually or always make a telephone call, send a condolence card, or attend a funeral following a pt's death; 30.5% reported performing at least 1 of these practices sometimes; and 36.2% reported performing at least 1 of these practices rarely or never.
- Among the specific practices, respondents were more likely to call a family at least sometimes than to send a condolence card or attend funeral services.
- Palliative care specialists reported the highest rates of bereavement follow-up.
- In multivariate regression analysis, female sex, working in an academic setting, palliative care specialty, lack of formal palliative care program, endorsement of the statement that physicians had a responsibility to send a condolence card, and high number of pt deaths were associated with more frequent bereavement follow-up.
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