Evidence map›Paper›PMID 33308218›Full record

ArticleBMC medical ethics2020

Barriers in implementing the dying patient law: the Israeli experience - a qualitative study.

Avi Zigdon, Rachel Nissanholtz-Gannot

Abstract read
In one paragraph

Article in BMC medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Avi ZigdonDepartment of Health Systems Management, School of Health Sciences, Ariel University, Science Park, P.O.B. 3, 4070000, Ariel, Israel. aviz@ariel.ac.il.ORCID 0000-0003-1849-7206
Rachel Nissanholtz-GannotDepartment of Health Systems Management, School of Health Sciences, Ariel University, Science Park, P.O.B. 3, 4070000, Ariel, Israel.ORCID 0000-0003-4014-2874

Funding

Israel National Institute for Health Policy Research R / 2013/82
6 · The paper itself

Abstract

backgroundCoping with end-of-life issues is a major challenge for governments and health systems. Despite progress in legislation, many barriers exist to its full implementation. This study is aimed at identifying these end-of-life barriers in relation to Israel.

methodsQualitative in-depth interviews using professionals and decision makers in the health-care and related systems (n = 37) were carried out, along with two focus groups based on brainstorming techniques consisting of nurses (n = 10) and social workers (n = 10). Data was managed and analyzed using Naralyzer software.

resultsQualitative analysis showed identification of six primary barriers: 1) law, procedures, and forms; 2) clinical aspects; 3) human aspects; 4) knowledge and skills of medical teams; 5) communication; and 6) resource allocation. These were further divided into 44 sub area barriers.

conclusionsThis study highlights the role of the family doctor in end-of-life by training physicians in decision-making workshops and increasing their knowledge in the field of palliative medicine. Effectively channeling resources, knowledge, and support for medical teams, by accounting for the structure and response of the units for home treatment will improve patient's access to information on and support for end-of-life laws, as well as reduce legislative barriers in other countries that face the same issues.

Indexed as

PhysiciansTerminal CareFocus GroupsHumansIsraelPatientsQualitative ResearchEnd-of-lifeLawPalliative carePhysician

Identifiers

PMID33308218
PMCPMC7731544

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