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General practitioners’ views on emergency care treatment plans; an on-line survey
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Underwood, Martin, Noufaily, Angela, Blanchard, Hazel, Dale, Jeremy, Harlock, Jenny, Gill, Paramjit, Griffiths, Frances, Spencer, Rachel and Slowther, Anne-Marie (2024) General practitioners’ views on emergency care treatment plans; an on-line survey. BJGP Open . BJGPO.2023.0192. doi:10.3399/BJGPO.2023.0192 ISSN 2398-3795. (In Press)
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Official URL: http://dx.doi.org/10.3399/BJGPO.2023.0192
Abstract
Background: A holistic approach to emergency care treatment planning is needed to ensure that patients’ preferences are considered should their clinical condition deteriorate. To address this Emergency Care and Treatment Plans (ECTPs) have been introduced. Little is known about their use in general practice.
Aim: To survey general practitioners’ (GPs’) experiences of, and views on, using ECTPs.
Design & setting: On-line survey of GPs practising in England.
Method: A survey of 841 GPs using the monthly on-line survey provided by Medeconnect, a market research company.
Results: ECTP forms were used by 49% of respondents’ practices (84% of these were Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) plans); 51% used do not attempt cardio-pulmonary resuscitation (DNACPR) forms. GPs are the predominant professional group completing ECTPs in the community. There was broad support for a wider range of community-based health and social care professionals being able to complete ECTPs. There was no system for reviewing ECTPs in 20% of respondents’ practices.
When compared to using a DNACPR form GPs using a ReSPECT form for emergency care treatment planning were more comfortable having these conversations with patients (OR =1.72, 95% CI 1.1–2.69) and family members (OR =1.85 (95% CI 1.19–2.87).
Conclusion: The potential benefits and challenges of widening the pool of health and social care professionals initiating and / or completing the ECTP process needs consideration. ReSPECT plans appears to make GPs more comfortable with ECTP discussions supporting their implementation. Practice-based systems for reviewing ECTP decisions should be strengthened.
Item Type: | Journal Article | ||||||
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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 > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Emergency medical services, Primary care (Medicine), Physicians (General practice), Internet questionnaires, Do-not-resuscitate orders | ||||||
Journal or Publication Title: | BJGP Open | ||||||
Publisher: | Royal College of General Practitioners | ||||||
ISSN: | 2398-3795 | ||||||
Official Date: | 8 January 2024 | ||||||
Dates: |
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Article Number: | BJGPO.2023.0192 | ||||||
DOI: | 10.3399/BJGPO.2023.0192 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | In Press | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 16 January 2024 | ||||||
Date of first compliant Open Access: | 18 January 2024 | ||||||
RIOXX Funder/Project Grant: |
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