Outpatient Pediatric Palliative Medicine: Complex Lives, Comprehensive Services (FR440D)

The comprehensive care team: a controlled trial of outpatient palliative medicine consultation.

BACKGROUND Little is known about the use of palliative care for outpatients who continue to pursue treatment of their underlying disease or whether outpatient palliative medicine consultation teams improve clinical outcomes. METHODS We conducted a year-long controlled trial involving 50 intervention patients and 40 control patients in a general medicine outpatient clinic. Primary care physici...

Prevalence and characteristics of outpatient palliative care services in California.

3. A total of 176 patients were immediately transported to hospital (4 refused). Of these, 90 (51%) were discharged with thehospital record–determineddiagnosisof acutemyocardial infarction (AMI). One-fifth of the remaining 641 patients (126 of 641) were reexamined within the 3-day follow-up because of continuing complaints, and another 15 AMIs were diagnosed. The sensitivity, specificity, and p...

Adolescent medicine requires comprehensive array of services.

Developing competencies for pediatric hospice and palliative medicine.

In 2006, hospice and palliative medicine (HPM) became an officially recognized subspecialty. This designation helped initiate the Accreditation Council of Graduate Medical Education Outcomes Project in HPM. As part of this process, a group of expert clinician-educators in HPM defined the initial competency-based outcomes for HPM fellows (General HPM Competencies). Concurrently, these experts re...

Evaluating outpatient pediatric psychology services in a primary care setting.

OBJECTIVE To provide descriptive and outcome information of an outpatient pediatric psychology clinic based in a medical center in a major metropolitan area. METHODS We coded the characteristics and outcomes of 100 patients prospectively on a number of dimensions. Surveys and interviews were used to gather follow-up information. RESULTS The majority of patients were Caucasian boys (n = 56 o...