Physicians' Beliefs and Attitudes About End-of-Life Care: A Comparison of Selected Regions in Hungary and the United States

Csikós, Ágnes; Mastrojohn, John; Albanese, Teresa; Moeller, Jessica Richmond; Radwany, Steven; Busa, Csilla

doi:10.1016/j.jpainsymman.2009.05.019

Cited by 27 publications

(28 citation statements)

References 9 publications

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“…31 possibly indicating that out-of-hospital end-of-life care services are not optimal, which might be due to the more recent development of these services in these countries. 33,34 These differences in place of death might suggest that the most appropriate setting as place of death might not be the same in each country (ie, that a hospital setting might prove to be best in one country and a home setting in another), possibly reflecting organizational differences in end-of-life care provision. Furthermore, as one recent study shows that cross-country variation in health-behaviors might be explained by differences in cultural values, perhaps this might partially explain why older people with dementia in neighboring countries, such as Belgium and the Netherlands, have a different likelihood of dying in hospital.…”

Section: Discussionmentioning

confidence: 99%

International Variation in Place of Death of Older People Who Died From Dementia in 14 European and non-European Countries

Reyniers

Deliens

Pasman

et al. 2015

Journal of the American Medical Directors Association

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117

103

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Section: Discussionmentioning

confidence: 99%

International Variation in Place of Death of Older People Who Died From Dementia in 14 European and non-European Countries

Reyniers

Deliens

Pasman

et al. 2015

Journal of the American Medical Directors Association

Self Cite

117

103

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“…Csikos et al (2010) compared the attitude of Hungarian and American physicians about hospice cares and reported that both American and Hungarian physicians have a positive attitude towards providing these services. In addition, positive attitude of nurses in this study is consistent with the results of other similar studies (Cramer et al, 2003;Stephan et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…The data collection was conducted by using a questionnaire designed based on an extensive literature review (Cramer et al, 2003;Stephan et al, 2008;Csikos et al, 2010). This questionnaire was consisted of three main parts.…”

Section: Methodsmentioning

confidence: 99%

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Awareness and Attitude of Nurses in Regard to Providing Hospice Care

Aghdam

Aghaei²,

Hassankhani³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Awareness and attitudes of nurses regarding end of life care are important factors in providing hospice care. In an extensive literature review, we found no related articles investigating Iranian nurses awareness and attitudes about providing such care. Objectives: The aims of this study were to investigate the awareness and attitudes of Iranian nurses in providing hospice care. Materials and Methods: In this descriptive-correlational study, 240 nurses employed in six educational centers were selected by non-randomized stratified sampling. The data collection instruments included an awareness test and attitudes regarding providing end of life care in hospice questionnaire. The data were analyzed using descriptive statistics and independent sample t-tests, one-way ANOVA, and Pearson correlation tests. Results: The nurses' awareness score was 14.3 out of 29 and 55.7% of them stated that they had not received any education in providing end of life care. Also, by obtaining the score of 91.7 out of 120 the attitudes of participants in providing end of life care in hospices were positive. In addition, the highest attitudes score of nurses were in the dimensions of benefits of implementation and health care team. Conclusions: Considering low awareness of nurses about end of life care in hospices, continuing education should be provided for them in this regard. Especially, by considering the positive attitude of nurses, providing such programs could help develop hospice care in Iran.

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“…The PCCS program was originally a bottom-up initiative that addressed the need for on-site palliative care and better management of patient pathways. The programme was introduced by a recognized specialist in palliative care in Hungary, who gained experience in the United Kingdom and the United States and transferred knowledge from abroad [20]. The PCCS sought to match its service portfolio to the needs defined by the clinical departments.…”

Section: Discussionmentioning

confidence: 99%

Implementation of palliative care consult Service in Hungary – integration barriers and facilitators

Zemplényi

Csikós

Csanádi³

et al. 2020

BMC Palliat Care

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Background: The Palliative Care Consult Service (PCCS) programme was among the first initiations in Hungary to provide palliative care for patients admitted to hospital. The PCCS team provides palliative care for mainly cancer patients and their family members and manages the patient pathway after being discharged from the hospital. The service started in 2014 with 300-400 patient visits per year. The aim of this study is to give a comprehensive overview of the PCCS programme guided by a conceptual framework designed by SELFIE ("Sustainable intEgrated chronic care modeLs for multi-morbidity: delivery, FInancing, and performancE"), a Horizon2020 funded EU project and to identify the facilitators and barriers to its wider implementation. Methods: PCCS has been selected by the SELFIE consortium for in-depth evaluation as one of the Hungarian integrated care models for persons with multi-morbidity. The qualitative analysis of the PCCS programme was based on available documents of the care provider and interviews with different stakeholders related to the programme. Results: The integrated, multidisciplinary and patient-centred approach was well-received among the patients, family members and clinical departments, as verified by the increasing number of requests for consultations. As a result of the patient pathway management across providers (e.g. from inpatient care to homecare) a higher level of coordination could be achieved in the continuity of care for seriously-ill patients. The regulatory framework has only partially been established, policies to integrate care across organizations and sectors and adequate financial mechanism to support the enhancement and sustainability of the PCCS are still missing. Conclusions: The service integration of palliative care could be implemented successfully in an academic hospital in Hungary. However, the continuation and enhancement of the programme will require further evidence on the performance of the integrated model of palliative care and a more systematic approach particularly regarding the evaluation, financing and implementation process.

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Physicians' Beliefs and Attitudes About End-of-Life Care: A Comparison of Selected Regions in Hungary and the United States

Abstract: These results illustrate some of the important differences in physicians' beliefs about the care of terminally ill patients between the two countries and can be used to guide medical education and practice.

Cited by 27 publications

References 9 publications

International Variation in Place of Death of Older People Who Died From Dementia in 14 European and non-European Countries

International Variation in Place of Death of Older People Who Died From Dementia in 14 European and non-European Countries

Awareness and Attitude of Nurses in Regard to Providing Hospice Care

Implementation of palliative care consult Service in Hungary – integration barriers and facilitators

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