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Titolo:
End-of-life care content in 50 textbooks from multiple specialties
Autore:
Rabow, MW; Hardie, GE; Fair, JM; McPhee, SJ;
Indirizzi:
Univ Calif San Francisco, Div Gen Internal Med, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA
Titolo Testata:
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
fascicolo: 6, volume: 283, anno: 2000,
pagine: 771 - 778
SICI:
0098-7484(20000209)283:6<771:ECCI5T>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAL-EDUCATION; PALLIATIVE CARE; DYING PATIENTS; CHALLENGE; MODEL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Rabow, MW Univ Calif San Francisco, Mt Zion, 1701 Divisadero St,5th Floor,San Francisco, CA 94115 USA Univ Calif San Francisco 1701 Divisadero St,5th Floor San Francisco CA USA 94115
Citazione:
M.W. Rabow et al., "End-of-life care content in 50 textbooks from multiple specialties", J AM MED A, 283(6), 2000, pp. 771-778

Abstract

Context Prior reviews of small numbers of medical textbooks suggest that end-of-life care is not well covered in textbooks. No broad study of end-of-life care content analysis has been performed on textbooks across a wide range of medical, pediatric, psychiatric, and surgical specialties. Objective To determine the quantity and rate the adequacy of information on end-of-life care in textbooks from multiple medical disciplines. Design and Sources A 1998 review of 50 top-selling textbooks from multiplespecialties (cardiology, emergency medicine, family and primary care medicine, geriatrics, infectious disease and acquired immunodeficiency syndrome [AIDS], internal medicine, neurology, oncology and hematology, pediatrics, psychiatry, pulmonary medicine, and surgery) for the presence and adequacy of content in 13 end-of-life care domains. Main Outcome Measures Chapters on diseases commonly causing death and those devoted to end-of-life care were identified, read, rated, and compared bytextbook specialty, chapter, and domain for the presence of helpful information in the 13 domains. Content for each domain was rated as absent, minimally present, or helpful. Textbook indexes were analyzed for the number of pages relevant to end-of-life care. Results Overall, helpful information was provided in 24.1% (range, 8.7%-44.2%) of the expected end-of-life content domains; in 19.1% (range, 6.2%-38.5%), expected content received minimal attention; and in 56.9% (range, 23.1%-77.9%), expected content was absent. As a group, the textbooks with the highest percentages of absent content were in surgery (71.8%), infectious diseases and AIDS (70%), and oncology and hematology (61.9%). Textbooks with the highest percentage of helpful end-of-life care content were in family medicine (34.4%), geriatrics (34.4%), and psychiatry (29.6%), In internal medicine textbooks, the content domains with the greatest amount of helpful information were epidemiology and natural history. Content domains covered least well were social, spiritual, ethical, and family issues, as well as physician after-death responsibilities. On average, textbook indexes cited 2%of their total pages as pertinent to end-of-life care. Conclusion Top-selling textbooks generally offered little helpful information on caring for patients at the end of life. Most disease-oriented chapters had no or minimal end-of-life care content. Specialty textbooks with information about particular diseases often did not contain helpful information on caring for patients dying from those diseases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/08/20 alle ore 15:46:23