ArticleScandinavian journal of primary health care2016
Danish general practitioners' self-reported competences in end-of-life care.
Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- Palliative care in general practice; a questionnaire study on the GPs role and guideline implementation in Norway.BMC family practice · 2021Article
- 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
- Primary care service use by end-of-life cancer patients: a nationwide population-based cohort study in the United Kingdom.BMC family practice · 2020Article
- Forging a New Frontier: Providing Palliative Care to People With Cancer in Rural and Remote Areas.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Review
- Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses.International journal of environmental research and public health · 2019Article
- Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners.BMC family practice · 2018Article
- Teamwork in primary palliative care: general practitioners' and specialised oncology nurses' complementary competencies.BMC health services research · 2018Article
- Norwegian general practitioners' collaboration with municipal care providers - a qualitative study of structural conditions.Scandinavian journal of primary health care · 2017Article
- Conveying hope in consultations with patients with life-threatening diseases: the balance between supporting and challenging the patient.Scandinavian journal of primary health care · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGeneral practitioners (GPs) are pivotal in end-of-life (EOL) care. This study aimed to assess GP-reported provision of EOL care and to assess associations with GP characteristics.
designPopulation-based questionnaire study.
settingCentral Denmark Region with approximately 1.3 million inhabitants. SUBJECTS: All 843 active GPs in the Central Denmark Region were sent a questionnaire by mail.
main outcome measuresResponses to 18 items concerning four aspects: provision of EOL care to patients with different diagnosis, confidence with being a key worker, organisation of EOL care and EOL skills (medical and psychosocial).
resultsIn total, 573 (68%) GPs responded. Of these, 85% often/always offered EOL care to cancer patients, which was twice as often as to patients with non-malignancies (34-40%). Moreover, 76% felt confident about being a key worker, 60% had a proactive approach, and 58% talked to their patients about dying. Only 9% kept a register of patients with EOL needs, and 19% had specific EOL procedures. GP confidence with own EOL skills varied; from 55% feeling confident using terminal medications to 90% feeling confident treating nausea/vomiting. Increasing GP age was associated with increased confidence about being a key worker and provision of EOL care to patients with non-malignancies. In rural areas, GPs were more confident about administering medicine subcutaneously than in urban areas.
conclusionWe found considerable diversity in self-reported EOL care competences. Interventions should focus on increasing GPs' provision of EOL care to patients with non-malignancies, promoting better EOL care concerning organisation and symptom management. KEY POINTS GPs are pivotal in end-of-life (EOL) care, but their involvement has been questioned. Hence, GPs' perceived competencies were explored. GPs were twice as likely to provide EOL care for patients with cancer than for patients with non-malignancies. EOL care was lacking clear organisation in general practice in terms of registering palliative patients and having specific EOL procedures. GPs were generally least confident with their skills in terminal medical treatment, for example, using medicine administered subcutaneously.
Indexed as
Identifiers
What OpenQuestion holds
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.