Promoting Excellence : Primary Care Provider Survey

University of California San Francisco Comprehensive Care Team: Primary Care Provider Survey

This is a confidential survey for primary care providers detailing their experience with making psychosocial referrals for their patients with serious illness as well as their practices and attitudes about discussing spirituality at the end of life.

Evaluation Tools - Provider Assessment

University of California San Francisco
Comprehensive Care Team
1600 Divisadero Street, Room C-433
San Francisco, CA 94115-1640

Michael Rabow, MD
[email protected]

How the grantee used this instrument:
This survey was self-administered confidentially to all primary care providers in an academic, general internal medicine practice.

physician survey, needs assessment, caregiver survey, congestive heart failure, cancer, COPD

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

Developed specifically for this project by the project team.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer. Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.
pdf PDF 130 KB / 2 pages

Posted September 2003

University of California, San Francisco overview page

# UCSF1, type:provider_assessment

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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