ArticleBMC palliative care2018
Professionals' perceptions and current practices of integrated palliative care in chronic heart failure and chronic obstructive pulmonary disease: a qualitative study in Belgium.
Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 35 citations in OpenAlex.
- Guided Goals of Care Conversations Reveal Evolving, Personalized Priorities.Journal of pain and symptom management · 2026Article
- Building a Cardiac Palliative Care Program: A Qualitative Study of the Experiences of Ten Program Leaders From Across the United States.Journal of pain and symptom management · 2023Article
- Palliative Care for Patients with End-Stage, Non-Oncologic Diseases-A Retrospective Study in Three Public Palliative Care Departments in Northern Italy.Healthcare (Basel, Switzerland) · 2022Article
- Identifying barriers and facilitators to palliative care integration in the management of hospitalized patients with COVID-19: A qualitative study.Palliative medicine · 2022Article
- Palliative Care in Older People with Multimorbidities: A Scoping Review on the Palliative Care Needs of Patients, Carers, and Health Professionals.International journal of environmental research and public health · 2022Article
- Comprehensive care for people living with heart failure and chronic obstructive pulmonary disease-Integration of palliative care with disease-specific care: From guidelines to practice.Frontiers in cardiovascular medicine · 2022Review
- Patient, carer and health professional experiences of end-of-life care services in chronic obstructive pulmonary disease: an interpretive synthesis of qualitative studies.Integrated healthcare journal · 2022Review
- How Well Does the Surprise Question Predict 1-year Mortality for Patients Admitted with COPD?Journal of general internal medicine · 2021Article
- Health professionals' perceptions of palliative care for end-stage cardiac and respiratory conditions: a qualitative interview study.BMC palliative care · 2021Article
- Healthcare professionals' perceptions of the role of a multidisciplinary approach in improving the care of patients with advanced chronic kidney disease.International urology and nephrology · 2020Article
- What is Quality End-of-Life Care for Patients With Heart Failure? A Qualitative Study With Physicians.Journal of the American Heart Association · 2020Article
- Barriers to Early Utilization of Palliative Care in Heart Failure: A Narrative Review.Healthcare (Basel, Switzerland) · 2020Review
- Early integrated palliative care in chronic heart failure and chronic obstructive pulmonary disease: protocol of a feasibility before-after intervention study.Pilot and feasibility studies · 2019Article
- Provision of Palliative Care in Patients with COPD: A Survey Among Pulmonologists and General Practitioners.International journal of chronic obstructive pulmonary diseaseArticle
- National trends in palliative care use among older adults with cardiopulmonary and malignant conditions.Heart & lung : the journal of critical careArticle
- Attitudes and Practices of Healthcare Professionals in Palliative Care for Heart Failure.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with Chronic Heart Failure (CHF) and patients with Chronic Obstructive Pulmonary Disease (COPD) share similar symptom burden with cancer patients, however, they are unlikely to receive palliative care (PC) services. This article examines the perceptions of health care professionals and the current practices of integrated palliative care (IPC) in Belgium.
methodsCardiologists and pulmonologists, working in primary care hospitals in Belgium, participated in this study with semi-structured interviews based on IPC indicators. One researcher collected, transcribed verbatim the interviews and carried out their thematic analysis. To increase the reliability of the coding, a second researcher coded a random 30% of the interviews.
resultsA total of 22 CHF/COPD specialists participated in the study. The results show that IPC and its potential benefits are viewed positively. A number of IPC components like the holistic approach (physical, psychological, social, spiritual aspects) via multidisciplinary teams, prognosis discussion and illness limitations, patient goals assessment, continuous goal adjustment, reduction of suffering and advanced care planning are partially implemented in several health centers. However, PC specialists are absent from such implementations and PC is still an end-of-life care.
conclusionsMisconceptions about PC and its association to death and end-of-life appear to be decisive factors for the exclusion of PC specialists and the late initiation of PC itself. The implementation of IPC components is not associated to PC, and as such, leads to suboptimal results. Improved education and enhanced communication is expected to alleviate existing challenges and thus improve the quality of life for the patients.
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