ArticleImplementation science : IS2014
Improving the organization of palliative care: identification of barriers and facilitators in five European countries.
Article in Implementation science : IS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Defining palliative care service capability: a scoping review to support quality improvement and benchmarking.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Implementing palliative reasoning in multiprofessional palliative care: A participatory action research in the Netherlands.PloS one · 2026Article
- Generalist, specialist, or expert in palliative care? A cross-sectional open survey on healthcare professionals' self-description.BMC palliative care · 2024Article
- Optimizing palliative care education nationwide: a practice example from The Netherlands.Palliative care and social practice · 2024Article
- Social health markers in the context of cognitive decline and dementia: an international qualitative study.Frontiers in psychiatry · 2024Article
- Article
- Integrating home palliative care in oncology: a qualitative study to identify barriers and facilitators.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Utilizing the Consolidated Framework for Implementation Research to Explore Palliative Care Program Implementation for American Indian and Alaska Natives throughout the United States.Journal of palliative medicine · 2022Article
- Review
- Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes.International journal of environmental research and public health · 2021Article
- Quality of Palliative and End-Of-Life Care in Hong Kong: Perspectives of Healthcare Providers.International journal of environmental research and public health · 2020Article
- Palliative care in primary care: European Forum for Primary Care position paper.Primary health care research & development · 2019Article
- Integrated Palliative Care for Nursing Home Residents: Exploring the Challenges in the Collaboration between Nursing Homes, Home Care and Hospitals.International journal of integrated care · 2019Article
- Views of psycho-oncologists, physicians, and nurses on cancer care-A qualitative study.PloS one · 2019Article
- Evaluation of the Measuring and Improving Quality in Palliative Care Survey.Journal of oncology practice · 2018Article
- Bereaved Family Members' Satisfaction with Care during the Last Three Months of Life for People with Advanced Illness.Healthcare (Basel, Switzerland) · 2018Article
- Integrated palliative care is about professional networking rather than standardisation of care: A qualitative study with healthcare professionals in 19 integrated palliative care initiatives in five European countries.Palliative medicine · 2018Article
- Aligning policy objectives and payment design in palliative care.BMC palliative care · 2018Review
- A Survey to Evaluate Facilitators and Barriers to Quality Measurement and Improvement: Adapting Tools for Implementation Research in Palliative Care Programs.Journal of pain and symptom management · 2017Article
- Practice change in chronic conditions care: an appraisal of theories.BMC health services research · 2017Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInterventions to improve palliative care encounter challenges beyond the usual implementation problems because of palliative care's complex and changing character. In this study, we explored barriers and facilitators faced by health-care professionals in five European countries (England, Germany, Italy, Norway and the Netherlands) with regard to improving the organization of their palliative care service.
methodsSemi-structured individual and focus group interviews were conducted with purposefully selected health-care professionals. The constant comparative method was used to analyse the data.
resultsProfessionals working in hospitals, hospices, nursing homes and primary care facilities who provide palliative care to adult patients were interviewed (n =40) or participated in ten focus group interviews (n =59). Barriers and facilitators were inductively grouped into 16 categories and arranged into five themes: innovation, individual professional level, group dynamics, organizational context and local political-economic context. Although the barriers and facilitators identified differed in scope, context, strength and provenance, they were shared by professionals from different European countries.
conclusionThis study identified barriers and facilitators to organizational change in palliative care. Some of these barriers and facilitators were experienced by professionals in almost all countries and are therefore prerequisites to change. Understanding the barriers to and facilitators of change will help tailor organizational improvements to the needs of individuals and organizations.
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