Table 3.
Palliative Care Program Characteristics According to Palliative Care Program Leaders
NCI Cancer Centers (N=61)a |
Non-NCI Cancer Centers (N=35)a |
P- valueb |
|||||
---|---|---|---|---|---|---|---|
N | % | 95% CI (%)c | N | % | 95% CI (%)c |
||
Time from Palliative Care Program Activation |
|||||||
>5 years | 30 | 51 | 37–64 | 9 | 27 | 13–46 | 0.03 |
Unknown or not answered | 2 | 2 | |||||
Estimated Patient Follow-up Time | |||||||
1–7 days | 20 | 34 | 22–47 | 14 | 43 | 25–61 | |
>1–4 weeks | 17 | 28 | 17–41 | 8 | 24 | 11–42 | |
>1–12 months | 17 | 28 | 17–41 | 9 | 27 | 13–46 | 0.85 |
>1 year | 6 | 10 | 4–21 | 2 | 6 | 1–20 | |
Unknown or not answered | 1 | 2 | |||||
Professional Background of Palliative Care Leaderd |
|||||||
Medical Oncology | 10 | 17 | 8–29 | 6 | 18 | 7–35 | >0.99 |
Palliative Medicine | 32 | 53 | 40–66 | 6 | 18 | 7–35 | 0.001 |
Nursing | 5 | 8 | 3–18 | 10 | 30 | 16–49 | 0.009 |
Unknown or not answered | 1 | 2 | |||||
Palliative Care Physician | |||||||
Number of full-time equivalent positions, median (Q1–Q3) |
1 | (1–2) | 1 | (0–2) | 0.07 | ||
Unknown or not answered | 4 | 3 | |||||
Number of physicians with at least 20% of protected time, median (Q1–Q3) |
0 | (0–1.5) | 0 | 0 | 0.047 | ||
Unknown or not answered | 1 | 2 | |||||
Professional Requirement | |||||||
Board certification for physicianse | 34 | 57 | 43–69 | 15 | 45 | 28–64 | 0.39 |
Unknown or not answered | 1 | 2 | |||||
Board certification for nursesf | 19 | 32 | 20–45 | 8 | 24 | 11–42 | 0.49 |
Unknown or not answered | 1 | 2 | |||||
Palliative Care Servicesd | |||||||
Assessment and management of psychiatric disorders |
29 | 48 | 35–62 | 11 | 33 | 18–52 | 0.193 |
Unknown or not answered | 1 | 2 | |||||
Obtaining advanced directives/DNR orders |
54 | 90 | 79–96 | 29 | 88 | 72–97 | 0.817 |
Unknown or not answered | 1 | 2 | |||||
Ethical issues | 44 | 73 | 60–84 | 29 | 88 | 72–97 | 0.121 |
Unknown or not answered | 1 | 2 | |||||
Referrals to hospice, home care and other placements |
55 | 92 | 82–97 | 30 | 91 | 76–98 | >0.99 |
Unknown or not answered | 1 | 2 | |||||
Comprehensive care plan | 53 | 88 | 77–95 | 27 | 82 | 65–93 | 0.53 |
Unknown or not answered | 1 | 2 | |||||
Pain consultation | 57 | 95 | 86–99 | 61 | 94 | 80–99 | >0.99 |
Unknown or not answered | 1 | 2 | |||||
Psychosocial support | 54 | 90 | 79–96 | 25 | 76 | 58–89 | 0.08 |
Unknown or not answered | 1 | 2 | |||||
Symptom management | 57 | 95 | 86–99 | 33 | 100 | 89–100 | 0.55 |
Unknown or not answered | 1 | 2 |
Abbreviations: CI, confidence interval; DNR, Do-not-resuscitate; NCI, National Cancer Institute; Q1–Q3, interquartile range
Total number of respondents
Comparisons were made between NCI and non-NCI cancer centers using the Fisher’s exact test for categorical variables, and the Mann-Whitney test for continuous variables. Confidence intervals were computed using the exact binominal test. Missing values were not included in the analyses
Unless stated otherwise
More than one option may apply
Based on the question “Does your palliative care program require physicians to be certified by the American Board of Hospice and Palliative Medicine or American Board of Medical Specialties?”
Based on the question “Does your palliative care program require nurses to be certified by the National Board for Certification of Hospice and Palliative Nurses?”