Among advanced cancer patients, discussions about prognosis, goals of care (GoC), and end-of-life preferences improve patients’ quality of life and reduce hospital and ICU admission rates. Yet, few patients know their chemotherapy treatments will not cure their disease, despite nearly all wishing to receive both positive and negative information. Currently, 37 percent of advanced cancer patients have GoC-clarifying discussions, and when they do, it is often in the last two months of life, when symptoms are uncontrollable and oncologists have no other treatments to offer. These discussions do not usually happen with the patient’s personal oncologist. Current efforts to teach oncologists such skills are impractical; they require a lot of time away from the physicians’ office practice and do not take into account job pressures. The goal of this study is to increase and improve GoC discussions for advanced cancer patients by training medical oncologists to conduct these discussions and evaluate their effects on patient satisfaction, receipt of care in line with preferences, aggressive care utilization, and oncologist communication skill.
|Effective start/end date||1/01/14 → …|
- Patient Centered Outcomes Research Institute: $2,304,146.00
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