ArticleBMC family practice2010
Palliative care in urgent need of recognition and development in general practice: the example of Germany.
Article in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 66 citations in OpenAlex.
- Finding their place - general practitioners' experiences with palliative care-a Norwegian qualitative study.BMC palliative care · 2022Article
- Comparison of survival between patients receiving general outpatient palliative care and patients receiving other palliative care - analysis of data of a statutory health insurance data.BMC palliative care · 2022Article
- Improving primary palliative care - a Delphi consensus study on measures for general practice in Germany.BMC primary care · 2022Article
- Prerequisites for providing effective support to family caregivers within the primary care setting - results of a study series in Germany.BMC family practice · 2021Article
- Generalist palliative care for non-cancer patients : A review article.Schmerz (Berlin, Germany) · 2021Review
- Implementation of Primary Palliative Care in five Belgian regions: A qualitative study on early identification of palliative care needs by general practitioners.The European journal of general practice · 2020Article
- Care Coordination in Palliative Home Care: Who Plays the Key Role?International journal of integrated care · 2020Article
- Factors influencing GPs' perception of specialised palliative homecare (SPHC) importance - results of a cross-sectional study.BMC palliative care · 2020Article
- General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study.Family practice · 2020Article
- Systematic identification of critically ill and dying patients in primary care using the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE).German medical science : GMS e-journal · 2020Article
- What do positive and negative experiences of patients, relatives, general practitioners, medical assistants, and nurses tell us about barriers and supporting factors in outpatient palliative care? A critical incident interview study.German medical science : GMS e-journal · 2020Article
- [Nurses' perspectives on outpatient palliative care in Vorarlberg, Austria].Zeitschrift fur Gerontologie und Geriatrie · 2019Article
- Strengthening primary health care teams with palliative care leaders: protocol for a cluster randomized clinical trial.BMC palliative care · 2017Article
- Written survey on recently deceased patients in germany and switzerland: how do general practitioners see their role?BMC health services research · 2016Article
- [Generalist palliative care for non-cancer patients: A review article].Schmerz (Berlin, Germany) · 2015Review
- 'We can do only what we have the means for' general practitioners' views of primary care for older people with complex health problems.BMC family practice · 2015Article
- Characteristics of a palliative care consultation service with a focus on pain in a German university hospital.BMC palliative care · 2014Article
- Symptoms, unbearability and the nature of suffering in terminal cancer patients dying at home: a prospective primary care study.BMC family practice · 2013Article
- Involvement of general practitioners in palliative cancer care: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013Article
- [End of life care in general practice: results of an observational survey with general practitioners].Schmerz (Berlin, Germany) · 2013Observational
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpecialist palliative care is being increasingly recognised and developed to improve end-of-life care in many developed countries. However, only a small proportion of the total number of patients with incurable, progressive diseases actually has direct contact with specialist palliative care practitioners. Using the German situation as an example, the main purpose of this paper is to argue that the emphasis on specialist palliative care services without a similar encouragement of primary palliative care will deliver a constrained service. DISCUSSION: For the vast majority of people with incurable, progressive diseases, good palliative care delivered by General Practitioners and community nurses, with access to specialist support when needed, is the optimal response. In Germany, specialist palliative care in the community was established in the 2007 health care reforms. However actual and potential delivery of palliative care by general practitioners and community based nurses has been sorely neglected. The time-consuming care of palliative patients and their families is currently far from accurately reflected in German, indeed most European primary care payment systems. However, it is not just a question of adequate financial compensation but also of the recognition of the fundamental value of this intense form of holistic family medicine. SUMMARY: It is imperative palliative care carried out by community nurses and general practitioners is better recognised by health professionals, health insurers, government and the scientific community as a central part of the delivery of health care for people in the last phase of life. Health systems should be arranged so that this critical role of general practice and primary care is intentionally fostered. Palliative care carried out by generalists needs an identity at an academic and practical level, developing in concert with specialist palliative care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.