ArticleBMC family practice2020
Home-based palliative care management: what are the useful resources for general practitioners? a qualitative study among GPs in France.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Effects of a home-based palliative heart failure program on quality of life among the elderly: a clinical trial study.BMC palliative care · 2023Trial
- General practitioners' relational familiarity with home-dwelling patients in the palliative phase: Basis - or bias - for individualised care.Palliative care and social practice · 2026Article
- Palliative care conditions managed at home and self-reported challenges experienced by informal home-based caregivers in Rwanda: a qualitative study.BMC palliative care · 2025Article
- Palliative care perceptions and well-being in nurses across healthcare settings: a comparative study from Reggio Emilia, Northern Italy.BMC palliative care · 2025Article
- A qualitative study of differences in palliative care in hospitals and traditional home-based care in Cameroon.BMC palliative care · 2025Article
- Educational community intervention with nonformal caregivers in a rural population to improve knowledge and resources related to palliative care: Study protocol.Palliative care and social practice · 2025Article
- Community-Based Interventions in People with Palliative Care Needs: An Integrative Review of Studies from 2017 to 2022.Healthcare (Basel, Switzerland) · 2024Review
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- The experience of providing end-of-life care at home: The emotional experiences of young family physicians.Journal of general and family medicine · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost French people (71%) would like to die at home, but only one out of four actually do. While the difficulties inherent in the practice of home-based palliative care are well described, few studies highlight the resources currently used by general practitioners (GPs) in real life. We have therefore sought to highlight the resources actually used by GPs providing home-based palliative care.
methodsTwenty-one GPs of different ages and practice patterns agreed to participate to this qualitative study based upon semi-structured interviews. They were recruited according to a purposive sampling. Transcripts analysis was based upon General Inductive Analysis.
resultsThe resources highlighted have been classified into two main categories according to whether they were internal or external to the GPs. The internal resources raised included the doctor's practical experience and continuous medical education, personal history, work time organization and a tacit moral contract related to the referring GP's position. External resources included resource personnel, regional assistance platforms and health facilities, legislation.
conclusionThis study provides a simple list that is easy to share and pragmatic solutions for GPs and policymakers. Home-based palliative care practice can simultaneously be burdensome and yet a fulfilling, meaningful activity, depending on self-efficacy and professional exhaustion (burnout), perhaps to a greater extent than on medical knowledge. Home-based palliative care promotion is a matter of social responsibility. The availability of multidisciplinary teams such as regional assistance platforms and Hospitalization at Home is particularly important for the management of palliative care. Policymakers should consolidate these specific resources out of hospitals, in community settings where the patients wish to end their life.
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