ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018
Stakeholders' views on identifying patients in primary care at risk of dying: a qualitative descriptive study using focus groups and interviews.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Stakeholder Perspectives of Clinical Artificial Intelligence Implementation: Systematic Review of Qualitative Evidence.Journal of medical Internet research · 2023Pooled it
- Primary Care Providers' Perceptions of the CAPACITI Palliative Care Education Trial: A Qualitative Study of Experiences With Self-Directed and Facilitated Modalities.Journal of palliative care · 2026Trial
- Exploring perceptions of online calculators for identifying community-dwelling older people at risk of dying: A qualitative study.PEC innovation · 2024Article
- Patient and Provider Attitudes and Preferences Regarding Early Palliative Care Delivery for Patients with Advanced Gastrointestinal Cancers: A Prospective Survey.Current oncology (Toronto, Ont.) · 2024Article
- Article
- Implementation of the ID-PALL Assessment Tool for Palliative Care Needs: A Feasibility and Prevalence Study in a Tertiary Hospital.Palliative medicine reports · 2024Article
- Implementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot program.BMC palliative care · 2023Article
- Building Palliative Care Capacity for Generalist Providers in the Community: Results From the Capaciti Pilot Education Program.The American journal of hospice & palliative care · 2023Article
- Training Proposal in Palliative Care for Primary Care Nurses in a Health Area in Spain.Nursing reports (Pavia, Italy) · 2023Article
- Increasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program.BMC palliative care · 2023Article
- Engaging family caregivers and health system partners in exploring how multi-level contexts in primary care practices affect case management functions and outcomes of patients and family caregivers at end of life: a realist synthesis.BMC palliative care · 2021Article
- Development of comparable algorithms to measure primary care indicators using administrative health data across three Canadian provinces.International journal of population data science · 2020Article
- Patient and caregiver perspectives on early identification for advance care planning in primary healthcare settings.BMC family practice · 2020Article
- Recruiting general practitioners for palliative care research in primary care: real-life barriers explained.BMC family practice · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStrategies have been developed for use in primary care to identify patients at risk of declining health and dying, yet little is known about the perceptions of doing so or the broader implications and impacts.
aimTo explore the acceptability and implications of using a primary care-based electronic medical record algorithm to help providers identify patients in their practice at risk of declining health and dying. DESIGN AND
settingQualitative descriptive study in Ontario and Nova Scotia, Canada.
methodSix focus groups were conducted, supplemented by one-on-one interviews, with 29 healthcare providers, managers, and policymakers in primary care, palliative care, and geriatric care. Participants were purposively sampled to achieve maximal variation. Data were analysed using a constant comparative approach.
resultsSix themes were prevalent across the dataset: early identification is aligned with the values, aims, and positioning of primary care; providers have concerns about what to do after identification; how we communicate about the end of life requires change; early identification and subsequent conversations require an integrated team approach; for patients, early identification will have implications beyond medical care; and a public health approach is needed to optimise early identification and its impact.
conclusionStakeholders were much more concerned with how primary care providers would navigate the post-identification period than with early identification itself. Implications of early identification include the need for a team-based approach to identification and to engage broader communities to ensure people live and die well post-identification.
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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.