ArticleFamily practice2020
General practitioners' practical approach to initiating end-of-life conversations: a qualitative study.
Article in Family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Barriers and Facilitators of Family Meetings in Primary Palliative Care: Insights From Slovenia.Zdravstveno varstvo · 2025Article
- 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
- Characteristics of patients with advanced cancer preferring not to know prognosis: a multicenter survey study.BMC cancer · 2022Article
- Palliative Care Within the Primary Health Care Setting in Australia: A Scoping Review.Public health reviews · 2022Article
- Shifting palliative care paradigm in primary care from better death to better end-of-life: a Swiss pilot study.BMC health services research · 2021Observational
- Early identification of the end-of-life in primary care setting.Family practice · 2020Article
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs doctors who provide care across the life-course, general practitioners (GPs) play a key role in initiating timely end-of-life discussions. Nonetheless, these discussions are often not initiated until close to death. Given the ageing of the population, GPs will be confronted with end-of-life care more often, and this needs to become a core skill for all GPs.
objectiveTo describe GPs' approach to initiating end-of-life discussions.
methodsFifteen GPs or GP trainees from South-East Queensland, Australia, were purposively recruited to participate in a semi-structured interview. We analysed transcripts using a thematic analysis.
resultsGPs' approach to initiating end-of-life discussions was summarized by four themes: (1) Preparing the ground; (2) finding an entry point; (3) tailoring communication and (4) involving the family.
conclusionsEmphasis on the doctor-patient relationship; assessing patient readiness for end-of-life discussions; and sensitive information delivery is consistent with factors previously reported to be important to both GPs and patients in this context. Our findings provide a framework for GPs initiating end-of-life discussions, which must be tailored to patient and GP personality factors. Further research is required to evaluate its outcomes.
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