ArticleBMC palliative care2020
Factors influencing GPs' perception of specialised palliative homecare (SPHC) importance - results of a cross-sectional study.
Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Evaluating palliative care case conferences in primary care for patients with advanced non-malignant chronic conditions: a cluster-randomised controlled trial (KOPAL).Age and ageing · 2024Trial
- [Analgesics and supportive care in the last month of life : Retrospective analysis of outpatient prescriptions using BARMER data from patients with oncological diseases (2016-2021)].Schmerz (Berlin, Germany) · 2026Article
- Molecular targets of neuroplasticity in ischemic stroke: insights from GEO database, single-cell analysis and immune infiltration analysis.Frontiers in aging neuroscience · 2025Article
- Article
- Palliative care for patients with hematologic malignancies in Germany: a nationwide survey on everyday practice and influencing factors from the perspective of treating physicians.Annals of hematology · 2024Article
- Utilization and quality of palliative care in patients with hematological and solid cancers: a population-based study.Journal of cancer research and clinical oncology · 2024Article
- Structural characteristics and contractual terms of specialist palliative homecare in Germany.BMC palliative care · 2023Article
- [A regional comparison of outcomes quality and costs of general and specialized palliative care in Germany: a claims data analysis].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Observational
- [Utilization of palliative care at the end of life in Germany: temporal trend (2016-2019) and regional variability].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
- Responsiveness of the new index muscular echotexture in women with metastatic breast cancer: an exercise intervention study.Scientific reports · 2022Article
- Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data.Palliative medicine · 2021Article
- Ultrasound use in metastatic breast cancer to measure body composition changes following an exercise intervention.Scientific reports · 2021Article
- [Palliative care at the end of life in Germany : Utilization and regional distribution].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020Article
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16 authors.
Funding
Abstract
backgroundGeneral Practitioners (GPs) are the main providers of primary palliative care (PPC). At the same time they are the main initiators of specialised palliative homecare (SPHC). In Germany, little is known about factors which influence GPs in their involvement of SPHC. Aim of our study is to identify factors that drive GPs to give value to and involve SPHC.
methodsA cross-sectional survey was performed. In 2018, questionnaires were mailed to 6000 randomly selected GPs from eight German federal states, focusing on the extent of GPs' palliative care activities and their involvement of SPHC.
resultsWith a response rate of 19.4% and exclusion of GPs working in SPHC-teams, n = 1026 questionnaires were appropriate for analysis. GPs valued SPHC support as the most "important/very important" for both "technical/invasive treatment measures" (95%) and availability outside practice opening hours (92%). The most relevant factor influencing perceived SPHC-importance was GPs' self-reported extent of engagement in palliative care (β = - 0.283; CI 95% = - 0.384;-0.182), followed by the perceived quality of utilised SPHC (β = 0.119; CI 95% = 0.048;0.190), involvement in treatment of palliative patients after SPHC initiation (β = 0.088; CI 95% = 0.042;0.134), and conviction that palliative care should be a central part of GPs' work (β = - 0.062; CI 95% = - 0.116;-0.008). Perceived SPHC-importance is also associated with SPHC-referrals (β =0.138; p < 0.001). The lower the engagement of GPs in palliative care, the more they involve SPHC and vice versa.
conclusionsGPs with low reported activity in palliative care are more likely to initialise SPHC for palliative care activities they do not deliver themselves for various reasons, which might mean that the involvement of SPHC is substitutive instead of complementary to primary palliative care. This finding and its interpretation should be given more attention in the future policy framework for (specialised) palliative homecare.
trial registrationGerman Clinical Trials Register DRKS00014726 , 14.05.2018.
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