ArticleBMC family practice2013
How do GPs identify a need for palliative care in their patients? An interview study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 58 citations in OpenAlex.
- Adding a second surprise question triggers general practitioners to increase the thoroughness of palliative care planning: results of a pilot RCT with cage vignettes.BMC palliative care · 2018Trial
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- Understanding patient views and experiences of the IDENTIfication of PALLiative care needs (IDENTI-PALL): a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Integration of primary palliative care into geriatric care from the Indian perspective.Journal of family medicine and primary care · 2022Article
- General practitioners' evaluations of optimal timing to initiate advance care planning for patients with cancer, organ failure, or multimorbidity: A health records survey study.Palliative medicine · 2022Article
- Advance care planning in primary care: a retrospective medical record study among patients with different illness trajectories.BMC palliative care · 2022Article
- Discussing prognosis and the end of life with patients with advanced cancer or COPD: A qualitative study.PloS one · 2022Article
- Improving Student Attitudes Toward Palliative Care.The American journal of hospice & palliative care · 2020Article
- Palliative and End-of-Life Care: Vital Aspects of Holistic Diabetes Care of Older People With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2020Article
- The views of physicians and nurses on the potentials of an electronic assessment system for recognizing the needs of patients in palliative care.BMC palliative care · 2020Article
- Care Professionals Manage the Future, Frail Older Persons the Past. Explaining Why Frailty Management in Primary Care Doesn't Always Work.Frontiers in medicine · 2020Article
- Palliative care in primary care: European Forum for Primary Care position paper.Primary health care research & development · 2019Article
- How do hospital-based nurses and physicians identify the palliative phase in their patients and what difficulties exist? A qualitative interview study.BMC palliative care · 2019Article
- Predicting life expectancy with a long short-term memory recurrent neural network using electronic medical records.BMC medical informatics and decision making · 2019Article
- Advance care planning conversations with palliative patients: looking through the GP's eyes.BMC family practice · 2018Article
- Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners.BMC family practice · 2018Article
- Early Identification of Patients in Need of Palliative Care in Slovenian General Practice.Zdravstveno varstvo · 2018Article
- Improving palliative care provision in primary care: a pre- and post-survey evaluation among PaTz groups.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- How do treatment aims in the last phase of life relate to hospitalizations and hospital mortality? A mortality follow-back study of Dutch patients with five types of cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Article
- Caring for People with Diabetes at the End of Life.Current diabetes reports · 2016Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about how GPs determine whether and when patients need palliative care. Little research has been done regarding the assumption underpinning Lynn and Adamson's model that palliative care may start early in the course of the disease. This study was conducted to explore how GPs identify a need for palliative care in patients.
methodsA qualitative interview study was performed among 20 GPs in the Netherlands.
resultsGPs reported that a combination of several signals, often subtle and not explicit, made them identify a need for palliative care: signals from patients (increasing care dependency and not recuperating after intercurrent diseases) and signals from relatives or reports from medical specialists. GPs reported differences in how they identified a need for palliative care in cancer patients versus those with other diseases. In cancer patients, the need for palliative care was often relatively clear because of a relatively strict demarcation between the curative and palliative phase. However, in patients with e.g. COPD or in the very old, GPs' awareness of palliative care needs often arises gradually, relatively late in the disease trajectory.GPs consider the diagnosis of a life-threatening illness as a key point in the disease trajectory. However, this does not automatically mean that a patient needs palliative care at that point.
conclusionsGPs recognize a need for palliative care on the basis of various signals. They do not support the idea underlying Lynn and Adamson's model that palliative care always starts early in the course of the disease.
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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.