ArticleBJGP open2019
General practitioners' perceptions of best practice care at the end of life: a qualitative study.
Article in BJGP open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Increasing the chance of dying at home: roles, tasks and approaches of general practitioners enabling palliative care: a systematic review of qualitative literature.BMC primary care · 2023Pooled it
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- Delivery and outcomes of end-of-life care in the Australian context: Experiences and reflections of general practitioners.Health & social care in the community · 2022Article
- Provision of end-of-life care in primary care: a survey of issues and outcomes in the Australian context.BMJ open · 2022Article
- Palliative Care Within the Primary Health Care Setting in Australia: A Scoping Review.Public health reviews · 2022Article
- Unwelcome memento mori or best clinical practice? Community end of life anticipatory medication prescribing practice: A mixed methods observational study.Palliative medicine · 2022Observational
- Continuity in palliative care - analysis of intersectoral palliative care based on routine data of a statutory health insurance.BMC palliative care · 2021Article
- GPs' decisions about prescribing end-of-life anticipatory medications: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs can play a central role in palliative care delivery. However, little is known about their views on what constitutes best practice care at the end of life.
aimTo explore, in a sample of Australian GPs, their perceptions of best practice palliative care and their ideal role in its delivery. DESIGN &
settingA qualitative interview study of 25 GPs practising in metropolitan and non-metropolitan locations in New South Wales, Australia.
methodSemi-structured telephone interviews were conducted. Data were analysed using qualitative content analysis.
resultsParticipants had a mean age of 51 years, and had practised between 3 and 38 years (mean 19 years). Best practice palliative care was perceived to be proactive and responsive to a wide range of patient and family needs. Many participants indicated a need for relational continuity, which involves GPs establishing a care pathway from diagnosis to palliation, coordinating care across the pathway, and collaborating with other healthcare providers. A number of participants perceived palliative care as a natural extension of primary care and indicated that best practice palliative care mainly requires experiential knowledge and good communication skills, rather than specialised medical knowledge. Participants listed a number of communication strategies to offer patients and their families choice and ongoing negotiation about the recommended treatments.
conclusionThis study provides novel in-depth insights into GPs' perceptions of best practice palliative care. Future research should further investigate the identified features of care, and whether they can maximise the outcomes of patients and their families.
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