Palliative care; role of family physicians

Ramanayake, R.P.J.C.; Dilanka, G.V.A.; Premasiri, L.W.S.S.

doi:10.4103/2249-4863.192356

Cited by 53 publications

(83 citation statements)

References 2 publications

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“…1,2 Caring for people nearing the end of their lives is considered a part of the core business of general practice. 3,4 Palliative care can improve the quality of life of patients facing problems associated with life-limiting conditions through the prevention and relief of suffering. It can also reduce the use of futile treatment and caregiver burden.…”

Section: Introductionmentioning

confidence: 99%

General practitioners’ perceptions of best practice care at the end of life: a qualitative study

et al. 2019

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BackgroundGPs can play a central role in palliative care delivery. However, little is known about their views on what constitutes best practice care at the end of life.AimTo explore, in a sample of Australian GPs, their perceptions of best practice palliative care and their ideal role in its delivery.Design & settingA qualitative interview study of 25 GPs practising in metropolitan and non-metropolitan locations in New South Wales, Australia.MethodSemi-structured telephone interviews were conducted. Data were analysed using qualitative content analysis.ResultsParticipants had a mean age of 51 years, and had practised between 3 and 38 years (mean 19 years). Best practice palliative care was perceived to be proactive and responsive to a wide range of patient and family needs. Many participants indicated a need for relational continuity, which involves GPs establishing a care pathway from diagnosis to palliation, coordinating care across the pathway, and collaborating with other healthcare providers. A number of participants perceived palliative care as a natural extension of primary care and indicated that best practice palliative care mainly requires experiential knowledge and good communication skills, rather than specialised medical knowledge. Participants listed a number of communication strategies to offer patients and their families choice and ongoing negotiation about the recommended treatments.ConclusionThis study provides novel in-depth insights into GPs’ perceptions of best practice palliative care. Future research should further investigate the identified features of care, and whether they can maximise the outcomes of patients and their families.

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Section: Introductionmentioning

confidence: 99%

General practitioners’ perceptions of best practice care at the end of life: a qualitative study

et al. 2019

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“…Similarly, in US family doctors are significantly more likely to provide non-clinic-based palliative care services [3]. Their role is to communicate and coordinate with other health care resources to address complex issues faced by patients [16]. Moreover, researchers have found that family doctors' tasks and roles are to ensure the integration of palliative care and collaboration [17].…”

Section: Resultsmentioning

confidence: 99%

“…Results also show that the communication and exchange of information between those specialists and information provided to patients and their family members are crucial to ensure the patient needs and to improve the palliative care. Indeed, as stated by Ramanayake, developing palliative care models should include opportunities for family doctors to learn sound palliative care principles in order to meet the challenges of the future [16].…”

Section: Discussionmentioning

confidence: 99%

Palliative care in Latvia: Availability and the role of the family doctor

2019

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In line with rapid population aging, palliative care is becoming increasingly important. The purpose of the study is to evaluate the satisfaction with palliative care and its availability in Latvia, as well as identify factors which have a major impact on overall satisfaction with care. The paper describes the situation in Latvia by evaluating the satisfaction with the palliative care and the accessibility to it. The study relies on a quantitative methodology and primary data were obtained using structured online survey conducted during the 30-day period – in March and April 2018. In total 240 questionnaires were collected from which 131 (n = 131) were qualified for further analysis. The survey results indicated that the population of Latvia has insufficient information about the palliative care leading to low availability. The regression analysis showed that overall low assessment of the palliative care is influenced by two factors: 1) low satisfaction with the services provided by the primary care physicians (family doctors), 2) satisfaction with the received palliative care services and the availability of the services. The study indicated that there is no unified and comprehensive palliative care strategy and system in Latvia, however, some state-provided care is available for a limited number of patients. The results highlight the necessary improvements in palliative care in Latvia and may serve as a basis for health and social policymakers for the development of a unified and comprehensive population end-of-life or palliative care strategy.

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“…On the one hand, it indicates the specificity of palliative patient and the involvement of family members in decision making for such patients. On the other hand, the cumulative analysis of hospital admissions shows an inadequate cooperation, discoordination between various levels of health care and, principally, the organizational imperfection of primary medical care that should determine the patient's route and act as a coordinator for providing medical and nonmedical needs to both incurably ill patients and their families [14,15].…”

Section: Resultsmentioning

confidence: 99%

Severely Ill Patients: Some Issues of Palliative Care Organization

Zolotarova

2018

Galician med. j.

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The objective of the research was to study the opinion of severely ill patients regarding some aspects of providing palliative care to determine the direction of its improvement. Materials and methods. The sociological survey was performed by interviewing 146 severely ill patients treated in different in-patient health care facilities in Ivano-Frankivsk. The calculation of each factor rates per 100 respondents, the standard error of rates, and Chi-Square Test (χ2) for comparing group differences were used for statistical data analysis. Results. Most respondents (66.4%) have been ill for several years. Throughout the year, every tenth patient (10.6%) was hospitalized more than four times. Only 49.4% of patients were admitted to the hospital with the referral from physicians. Every fifth respondent (20.5%) was delivered to the hospital by an ambulance, others (17.9%) -by self-referral. Fewer than half of respondents confirmed that their opinion was considered when choosing a medical facility (42.0%), physician (41.3%), place for care (31.9%) and methods of treatment (23.9%). The level of deontological and legal needs of incurably ill patients was found to be 2-6 times higher than the degree of their satisfaction. Conclusions. High multiplicity of inpatient cases among palliative patients and the importance of improving the criteria and ways of their hospitalization were determined considering the high proportion of their hospitalization by emergency medical services and self-referral. The necessity of developing the standards of palliative care for patients and their families at the level of primary medical care was shown.

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Palliative care; role of family physicians

Cited by 53 publications

References 2 publications

General practitioners’ perceptions of best practice care at the end of life: a qualitative study

General practitioners’ perceptions of best practice care at the end of life: a qualitative study

Palliative care in Latvia: Availability and the role of the family doctor

Severely Ill Patients: Some Issues of Palliative Care Organization

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