A Statewide Survey to Understand Barriers to Utilization of the Medical Orders for Scope of Treatment Form among Emergency Medical Service Providers

被引：3

作者：

Bridges, Christine ^{[1
]}

Whitehouse, Katherine ^{[2
]}

Magnuson, Justin ^{[3
]}

Yankeelov, Pamela ^{[3
]}

Pate, Kimberly ^{[2
,4
]}

Andrew, Robert G. ^{[5
]}

Adams, Cindy ^{[6
]}

Whisman, Salli E. ^{[7
]}

Furman, Christian Davis ^{[2
,3
,4
,8
]}

机构：

[1] Hosp & Palliat Med INTEGRIS Hlth, Oklahoma City, OK USA

[2] Univ Louisville, Sch Med, Louisville, KY USA

[3] Univ Louisville, Trager Inst, Optimal Aging Clin, Louisville, KY USA

[4] Univ Louisville, Sch Med, Dept Internal Med, Div Gen Internal Med Palliat Med & Med Educ, Louisville, KY USA

[5] Kentucky Board Emergency Med Serv, Lexington, KY USA

[6] Baptist Hlth, Louisville, KY USA

[7] Bluegrass Care Navigators, Lexington, KY USA

[8] Univ Louisville, Trager Inst, Optimal Aging Clin, 204 East Market St,Suite A, Louisville, KY 40202 USA

来源：

JOURNAL OF PALLIATIVE MEDICINE | 2023年 / 26卷 / 02期

关键词：

advance care planning; advance directives; MOST form; PHYSICIAN ORDERS; LIFE;

D O I：

10.1089/jpm.2022.0053

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Advance care planning allows communication of end-of-life goals. The Kentucky medical orders for scope of treatment (MOST) form became a legal medical order in 2015. The Kentucky MOST Coalition formed in 2017 to implement MOST.Objectives: In 2019, Kentucky MOST Coalition members developed a survey to determine emergency medical services (EMS) providers' understanding and barriers to utilization of MOST.Design: The Kentucky Board of EMS e-mailed the survey to its members. The survey was voluntarily completed by EMS providers. The data were analyzed by Kentucky MOST Coalition.Results: A majority of participants had never (72%) encountered a MOST form. In addition, 69% said they had never received MOST training. However, 60% knew that "the MOST form is a physician order and shall be followed in all settings."Conclusions: The majority of the EMS providers knew basic information about MOST. However, accessibility and education were barriers to utilization of MOST. EMS providers need continuing education. Education surrounding MOST can help to ensure a person-centered approach.

引用

页码：257 / 263

页数：7

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