The Library
Challenges experienced by general practitioners when providing palliative care in the UK : a systematic qualitative literature review
Tools
Jones, Rachelle, Dale, Jeremy and MacArtney, John I. (2023) Challenges experienced by general practitioners when providing palliative care in the UK : a systematic qualitative literature review. BJGP Open, 7 (2). BJGPO.2022.0159. doi:10.3399/BJGPO.2022.0159 ISSN 2398-3795.
|
PDF
WRAP-challenges-experienced-general-practitioners-providing-palliative-care-UK-systematic-qualitative-literature-review-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (511Kb) | Preview |
Official URL: http://dx.doi.org/10.3399/BJGPO.2022.0159
Abstract
Background: General Practitioners in the UK will face increased palliative care demands in the coming years. Understanding what makes providing palliative care difficult for GPs is an important step to planning future services,but at current there is an absence of synthesised literature addressing this.
Aim: To identify the range of issues that affect GPs’ provision of palliative care.
Design & setting: A qualitative systematic review and thematic synthesis of studies exploring GPs’ experiences of providing palliative care in the UK.
Method: Four databases (MEDLINE, Embase, Web of Science and CINAHL) were searched 1 June 2022 to identifyrelevant primary qualitative literature published between 2008–2022.
Results: Twelve papers were included in the review. Weidentified fourthemes that affect GPs’ experience of providing palliative care: resourcing issues; poor multi-disciplinary team (MDT) approach;challenging communication with patients and carers; andinadequate training.Pressures caused by increasing workloads and a lack of staffingcombined with difficulty accessing specialistteams impeded GPs’ provision of palliative care. Deficiencies in GP training and a lack of patient understanding or unwillingness to engage in palliative care discussions werefurther challenges.
Conclusion: A multifaceted approach focussed on increased resources, improved training and a seamless interface between services, including improved access to specialist palliative teams when necessary,is needed to address the difficulties that GPs face inpalliative care.Regular in-house MDT discussion of palliative cases and exploration of community resources could generate a supportive environment for GPs.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > R Medicine (General) | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Academic Primary Care Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||
Library of Congress Subject Headings (LCSH): | Physicians (General practice) , Palliative treatment | ||||||||
Journal or Publication Title: | BJGP Open | ||||||||
Publisher: | Royal College of General Practitioners | ||||||||
ISSN: | 2398-3795 | ||||||||
Official Date: | June 2023 | ||||||||
Dates: |
|
||||||||
Volume: | 7 | ||||||||
Number: | 2 | ||||||||
Article Number: | BJGPO.2022.0159 | ||||||||
DOI: | 10.3399/BJGPO.2022.0159 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 28 February 2023 | ||||||||
Date of first compliant Open Access: | 1 March 2023 |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year