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Providing end-of-life care in general practice : findings of a national GP questionnaire survey
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Mitchell, Sarah J., Loew, J., Millington-Sanders, C. and Dale, Jeremy (2016) Providing end-of-life care in general practice : findings of a national GP questionnaire survey. British Journal of General Practice . doi:10.3399/bjgp16X686113 ISSN 0960-1643.
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Official URL: http://dx.doi.org/10.3399/bjgp16X686113
Abstract
Background:
With increasing numbers of people living with complex life-limiting multimorbidity in the community, consideration must be given to improving the organisation and delivery of high-quality palliative and end-of-life care (EOLC).
Aim:
To provide insight into the experience of GPs providing EOLC in the community, particularly the facilitators and barriers to good-quality care.
Design and setting:
A web-based national UK questionnaire survey circulated via the Royal College of General Practitioners, NHS, Marie Curie, and Macmillan networks to GPs.
Method:
Responses were analysed using descriptive statistics and an inductive thematic analysis.
Results:
Responses were received from 516 GPs, who were widely distributed in terms of practice location. Of these, 97% felt that general practice plays a key role in the delivery of care to people approaching the end of life and their families. Four interdependent themes emerged from the data: continuity of care — which can be difficult to achieve because of resource concerns including time, staff numbers, increasing primary care workload, and lack of funding; patient and family factors — with challenges including early identification of palliative care needs and recognition of the end of life, opportunity for care planning discussions, and provision of support for families; medical management — including effective symptom-control and access to specialist palliative care services; and expertise and training — the need for training and professional development was recognised to enhance knowledge, skills, and attitudes towards EOLC.
Conclusion:
The findings reveal enduring priorities for policy, commissioning, practice development, and research in future primary palliative care.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of General Practice | ||||||||
| Publisher: | Royal College of General Practitioners | ||||||||
| ISSN: | 0960-1643 | ||||||||
| Official Date: | 6 July 2016 | ||||||||
| Dates: |
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| DOI: | 10.3399/bjgp16X686113 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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