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Health Serv Res. 1985 April; 20(1): 83–101.
PMCID: PMC1068866

Physician acceptance of home care for terminally ill children.


The study reported here explored the factors associated with the implementation of Martinson's model of home care and treatment for children in the terminal stages of illness with cancer. The model is described as an example of a health care strategy that was dramatically different from the prevalent model of care and may have conflicted with existing values. Data for the study were gathered from the hospital records of the children and from a survey of their oncologists. The findings suggest that physicians viewed the model of care as desirable and made their referral decisions on the basis of their judgment about whether the family in question was technically and emotionally capable of providing the care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Martinson IM, Geis D, Anglim MA, Peterson E, Nesbit M, Kersey J. When the patient is dying: home care for the child. Am J Nurs. 1977 Nov;77(11):1815–1817. [PubMed]
  • Rothenberg MB. Reactions of those who treat children with cancer. Pediatrics. 1967 Sep;40(3 Suppl):507–510. [PubMed]
  • Tietz W, Powars D. The pediatrician and the dying child. "Physician, know thyself". Clin Pediatr (Phila) 1975 Jun;14(6):585–591. [PubMed]
  • Wood BG. Interpersonal aspects in the care of terminally ill patients. Am J Psychoanal. 1975 Spring;35(1):47–53. [PubMed]
  • Warner KE. Treat decision making in catastrophic illness. Med Care. 1977 Jan;15(1):19–33. [PubMed]
  • Kastenbaum R, Costa PT., Jr Psychological perspectives on death. Annu Rev Psychol. 1977;28:225–249. [PubMed]
  • Kübler-Ross E. The care of the dying-whose job is it? Psychiatry Med. 1970 Apr;1(2):103–107. [PubMed]
  • Kincade Jean E. Attitudes of physicians, housestaff, and nurses on care for the terminally ill. Omega (Westport) 1982;13(4):333–344. [PubMed]
  • Martinson IM, Amrstrong GD, Geis DP, Anglim MA, Gronseth EC, MacInnis H, Kersey JH, Nesbit ME., Jr Home care for children dying of cancer. Pediatrics. 1978 Jul;62(1):106–113. [PubMed]
  • McKinlay JB. From "promising report" to "standard procedure": seven stages in the career of a medical innovation. Milbank Mem Fund Q Health Soc. 1981 Summer;59(3):374–411. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust