Tertiary general hospitals (n = 226) | Cancer hospitals (n = 82) | p value | |||
---|---|---|---|---|---|
n | % (95%CI) | n | % (95%CI) | ||
PC service offered by: | 0.001 | ||||
PC department or specialists | 35 | 15.5 (10.7–20.2) | 28 | 34.1 (25.0–45.6) | 0.0006 |
Other professionals (no PC department or specialists) | 183 | 81.0 (75.8–86.1) | 51 | 62.2 (51.9–72.8) | |
Missing | 8 | 3.5 (1.1–6.0) | 3 | 3.7 (0.6–7.8) | |
Title of PC program (multiple answers allowed) | |||||
Comprehensive cancer care | 167 | 73.9(68.1–79.7) | 52 | 63.4(52.8–74.1) | 0.073 |
Pain and symptom management | 141 | 62.4 (56.0–68.8) | 46 | 56.1 (45.1–67.1) | 0.318 |
Palliative care | 54 | 23.9 (18.3–29.5) | 20 | 24.4 (14.9–33.9) | 0.928 |
End-of-life care | 76 | 33.6 (27.4–39.8) | 28 | 34.1 (23.7–44.6) | 0.932 |
Supportive care | 128 | 56.6 (50.1–63.1) | 34 | 41.5 (30.6–52.4) | 0.018 |
Time since initiation of PC program | 0.746 | ||||
< 1 year | 17 | 7.5 (4.1–11.0) | 7 | 8.5 (4.1–16.9) | |
1–2 years | 38 | 16.8 (12.4–22.3) | 16 | 19.5 (12.3–29.6) | |
3–5 years | 51 | 22.6 (17.6–28.5) | 16 | 19.5 (12.3–29.6) | |
> 5 years | 120 | 53.1 (46.5–59.5) | 43 | 52.4 (41.6–63.0) | |
Respondent’s professional title | 0.142 | ||||
Senior faculty member | 210 | 92.9 (89.6–96.3) | 71 | 86.6 (79.2–94.0) | |
Mid-level faculty member | 15 | 6.6 (3.4–9.9) | 11 | 13.4 (6.0–20.8) | |
Junior faculty member | 1 | 0.4 (− 0.4 - 1.3) | 0 | 0 | |
At least 20% of PC staff are full-time physicians | 82 | 36.3 (30.0–42.6) | 36 | 43.9 (33.2–54.6) | 0.224 |
Respondent’s department within hospital | 0.029 | ||||
Medical oncology | 185 | 81.9 (76.2–86.3) | 49 | 59.8 (48.8–69.8) | 0.000 |
Medical department | 7 | 3.1 (1.5–6.4) | 6 | 7.3 (3.3–15.4) | |
Radiology | 6 | 2.7 (1.2–5.7) | 7 | 8.5 (4.1–16.9) | |
Traditional Chinese Medicine | 4 | 1.8 (0.7–4.6) | 2 | 2.4 (0.6–9.3) | |
Pain management | 4 | 1.8 (0.6–4.6) | 5 | 6.1 (2.6–13.9) | |
Geriatric care | 4 | 1.8 (0.7–4.6) | 2 | 2.4 (0.6–9.3) | |
Surgery | 3 | 1.3 (0.4–4.1) | 3 | 3.7 (1.2–10.8) | |
Nursing | 3 | 1.3 (0.4–4.1) | 2 | 2.4 (0.6–9.3) | |
Palliative care | 2 | 0.9 (0.2–3.4) | 1 | 1.2 (0.2–8.2) | |
Other | 8 | 3.5 (0.2–6.9) | 5 | 6.1 (2.6–13.9) | |
PC services provided (multiple answers allowed) | |||||
Assessment and management of psychiatric disorders | 87 | 38.5 (32.2–44.8) | 21 | 25.6 (16.2–35.1) | 0.036 |
Obtaining advanced directives/DNR orders | 102 | 45.1 (38.6–51.6) | 37 | 45.1 (34.4–55.9) | 0.999 |
Solving ethical issues | 51 | 22.6 (17.1–28.0) | 23 | 28.0 (18.3–37.8) | 0.320 |
Referrals to hospice, home care, and other placements | 72 | 31.9 (25.8–37.9) | 36 | 43.9 (33.2–54.6) | 0.050 |
Comprehensive care plans | 134 | 59.3 (52.9–65.7) | 49 | 59.8 (49.1–70.4) | 0.942 |
Pain consultation | 212 | 93.8 (90.7–96.9) | 76 | 92.7 (87.0–98.3) | 0.724 |
Psychosocial support | 114 | 50.4 (43.9–57.0) | 38 | 46.3 (35.5–57.1) | 0.525 |
Symptom management | 174 | 77.0 (71.5–82.5) | 64 | 78.0 (69.1–87.0) | 0.845 |
Estimated patient follow-up time | 0.109 | ||||
1-7 days | 43 | 19.0 (13.9–24.1) | 12 | 14.6 (7.0–22.3) | |
1-4 weeks | 76 | 33.6 (27.5–39.8) | 23 | 28.0 (18.3–37.8) | |
1-12 months | 76 | 33.6 (27.5–39.8) | 31 | 37.8 (27.3–48.3) | |
1-2 years | 17 | 7.5 (4.1–11.0) | 9 | 11.0 (4.2–17.7) | |
> 2years | 14 | 6.2 (3.1–9.3) | 7 | 8.5 (2.5–14.6) |