ArticleZeitschrift fur Gerontologie und Geriatrie2020
Caring for frail older patients in the last phase of life : Challenges for general practitioners in the integration of geriatric and palliative care.
Article in Zeitschrift fur Gerontologie und Geriatrie, 2020. 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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- [Spatial access to palliative care units in Germany: integrated analysis of availability and accessibility using the E2SFCA method].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Article
- Comprehensive geriatric assessment and palliative care.Aging medicine (Milton (N.S.W)) · 2024Review
- End-of-life care in Germany between 2016 and 2020 - A repeated cross-sectional analysis of statutory health insurance data.BMC palliative care · 2024Article
- What do older patients know about their medication? A cross-sectional, interview-based pilot study.European journal of clinical pharmacology · 2023Article
- [Utilization of palliative care at the end of life in Germany: temporal trend (2016-2019) and regional variability].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
- Experiences with long-term care for geriatric patients by an interprofessional outpatient care approach - a qualitative study.BMC geriatrics · 2023Article
- How Do Health Care Professionals Perceive a Holistic Care Approach for Geriatric Patients? A Focus Group Study.International journal of environmental research and public health · 2023Article
- Integration of primary palliative care into geriatric care from the Indian perspective.Journal of family medicine and primary care · 2022Article
- Improving primary palliative care - a Delphi consensus study on measures for general practice in Germany.BMC primary care · 2022Article
- Palliative care competencies for geriatricians across Europe: a Delphi consensus study.European geriatric medicine · 2021Article
- "I Have Such a Great Care" - Geriatric Patients' Experiences with a New Healthcare Model: A Qualitative Study.Patient preference and adherence · 2021Article
- [Palliative care at the end of life in Germany : Utilization and regional distribution].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe best possible care for frail older patients at the end of life can require the integration of geriatric and palliative approaches, possibly with different accentuations at different times. General practitioners (GP) are particularly important in this context: they provide patients with low-threshold primary care close to their homes and provide both general palliative care and geriatric services.
objectiveWhat are the challenges for GPs in caring for frail older patients at the end of their lives? MATERIAL AND
methodsA secondary data analysis of 52 qualitative interviews was carried out, which were serially obtained at 4 points in time over a period of 18 months with 14 family doctors. In addition, one focus group with five GPs took place. The analysis was carried out according to the principles of grounded theory.
resultsThe results show that GPs see the care of frail older patients at the end of their lives through a) the growing number of older people, b) multimorbidity and complexity of the problem areas, c) the integration of geriatric and palliative approaches, d) the high average age of general practitioners and the lack of junior staff and e) the problem of ensuring care in rural areas as a major challenge. The practical transition between geriatric and palliative care is considered by GPs to be fluid and there is a desire for more integration of both disciplines.
conclusionIn this study GPs perceived a large overlap between geriatric and palliative care. Both approaches should be offered for a selection of patients as a combined service. In the future a systematic network between GPs and geriatricians in practices, clinics, and day clinics will be necessary.
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