title: Community-Partnered Collaboration to Build an Integrated Palliative Care Clinic: The View From Urology.
abstract: BACKGROUND
  We partnered with patients, families, and palliative care clinicians to develop an integrated urology-palliative care clinic for patients with metastatic cancer. We assessed clinician satisfaction with a multidisciplinary palliative care clinic model.
  
  
  METHODS
  We conducted semi-structured interviews with 18 clinicians who practice in our integrated clinic. We analyzed transcripts using a multistage, cutting-and-sorting technique in an inductive approach based on grounded theory analysis. Finally, we administered a validated physician job satisfaction survey.
  
  
  RESULTS
  Clinicians found that referring a patient to palliative care in the urology clinic was feasible and appropriate. Patients were receptive to supportive care, and clinicians perceived that quality of care improved following the intervention.
  
  
  CONCLUSIONS
  An integrated, patient-centered model for individuals with advanced urologic malignancies is feasible and well received by practitioners.
authors.affiliation: Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA jbergman@mednet.ucla.edu.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Bergman
authors.affiliation: Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA UC Irvine School of Medicine, Irvine, CA, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Ballon-Landa
authors.affiliation: VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA RAND Corporation, Santa Monica, CA, USA.
authors.forename: Karl A
authors.initials: KA
authors.lastname: Lorenz
authors.affiliation: Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
authors.forename: Josemanuel
authors.initials: J
authors.lastname: Saucedo
authors.affiliation: Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA RAND Corporation, Santa Monica, CA, USA.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Saigal
authors.affiliation: Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Bennett
authors.affiliation: Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
authors.forename: Mark S
authors.initials: MS
authors.lastname: Litwin
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D003159:Community-Institutional Relations; D005190:Family; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D008297:Male; D009722:Nurse Practitioners / Q000523:psychology; D010166:Palliative Care / Q000458:organization & administration*; D010361:Patients; D010820:Physicians / Q000523:psychology; D014572:Urology / Q000458:organization & administration*
keywords: adult; attitude of health personnel; delivery of health care; integrated; interviews as topic; palliative care; patient care team; patient preference; physicians/psychology; physician’s role; quality improvement; quality of health care; terminal care; urology