ArticleBMC family practice2021
Palliative care in general practice; a questionnaire study on the GPs role and guideline implementation in Norway.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews.Health research policy and systems · 2022Pooled it
- A Program to Improve General Palliative Cancer Care Guideline Implementation: Development, Acceptability, and Feasibility of Implementation Strategies.Journal of evaluation in clinical practice · 2025Article
- The implementation of guidelines in palliative care - a scoping review.BMC palliative care · 2025Article
- Evaluating the application and clinical practice of adapted national preeclampsia and eclampsia guideline; a cross-sectional study from Iran.BMC pregnancy and childbirth · 2025Article
- General practitioners and palliative care practices: a better knowledge of specific services is still needed.BMC health services research · 2024Article
- A Guideline for Guidelines: A Novel Method to Assess the Helpfulness of Medical Guidelines.Journal of clinical medicine · 2024Article
- Put on the sidelines of palliative care: a qualitative study of important barriers to GPs' participation in palliative care and guideline implementation in Norway.Scandinavian journal of primary health care · 2024Article
- Specialist and Primary Physicians' Experiences and Perspectives of Collaboration While Caring for Palliative Patients-A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Finding their place - general practitioners' experiences with palliative care-a Norwegian qualitative study.BMC palliative care · 2022Article
- Talking together in rural palliative care: a qualitative study of interprofessional collaboration in Norway.BMC health services research · 2022Article
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients in need of palliative care often want to reside at home. Providing palliative care requires resources and a high level of competence in primary care. The Norwegian guideline for palliative care points to the central role of the regular general practitioner (RGP), specifying a high expected level of competence. Guideline implementation is known to be challenging in primary care. This study investigates adherence to the guideline, the RGPs experience with, and view of their role in palliative care.
methodsA questionnaire was distributed, by post, to all 246 RGPs in a Norwegian county. Themes of the questionnaire focused on experience with palliative and terminal care, the use of recommended work methods from the guideline, communication with partners, self-reported role in palliative care and confidence in providing palliative care. Data were analyzed descriptively, using SPSS.
resultsEach RGP had few patients needing palliative care, and limited experience with terminal care at home. Limited experience challenged RGPs possibilities to maintain knowledge about palliative care. Their clinical approach was not in agreement with the guideline, but most of them saw themselves as central, and were confident in the provision of palliative care. Rural RGPs saw themselves as more central in this work than their urban colleagues.
conclusionsThis study demonstrated low adherence of the RGPs, to the Norwegian guideline for palliative care. Guideline requirements may not correspond with the methods of general practice, making them difficult to adopt. The RGPs seemed to have too few clinical cases over time to maintain skills at a complex and specialized level. Yet, there seems to be a great potential for the RGP, with the inherent specialist skills of the general practitioner, to be a key worker in the palliative care trajectory.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.