Item request has been placed!
×
Item request cannot be made.
×
Processing Request
General practitioners and palliative care practices: a better knowledge of specific services is still needed.
Item request has been placed!
×
Item request cannot be made.
×
Processing Request
- Additional Information
- Source:
Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- Publication Information:
Original Publication: London : BioMed Central, [2001-
- Subject Terms:
- Abstract:
Background: France allows deep sedation for pain relief, but not for euthanasia. In anticipation of an increase in home-based palliative care, the role of general practitioners is central to the design of outpatient palliative care services. This study aimed to describe the knowledge, attitudes, and practices of general practitioners in mainland France regarding palliative and end of life care.
Methods: This was a national descriptive cross-sectional study within the Sentinelles network. Self-report questionnaires were distributed to general practitioners between November 2020 and November 2021. A descriptive analysis was carried out.
Results: Out of the 123 participating general practitioners, 84% had received academic training in palliative care (n = 104). While a significant majority (69%) expressed comfort in pain management, only a quarter (25%) declared that they were competent at indicating deep and continuous sedation for pain relief. Awareness of outpatient palliative care facilities close to their place of practice such as hospitalization at home was over 97% (n = 117/120). Awareness of hospital facilities, including identified palliative care beds on hospital wards and palliative care units, was lower (75% (n = 59/79) and 86% (n = 86/100), respectively).
Conclusions: Our results suggest that French general practitioners are reasonably aware of palliative care resources available. However, there is room for improvement, particularly in understanding hospital-based facilities. Furthermore, a quarter of the general practitioners expressed discomfort with deep and continuous sedation for pain relief, highlighting the need for increased training in this specific aspect of palliative and end of life care.
(© 2024. The Author(s).)
- References:
Australas J Ageing. 2022 Jun;41(2):265-273. (PMID: 34787355)
Aust Fam Physician. 2017 Jan/Feb;46(1):51-55. (PMID: 28189134)
BMC Palliat Care. 2013 Feb 15;12:7. (PMID: 23414145)
BMC Fam Pract. 2021 Apr 7;22(1):64. (PMID: 33827448)
Croat Med J. 2006 Feb;47(1):142-7. (PMID: 16489707)
BMC Health Serv Res. 2023 Jul 24;23(1):786. (PMID: 37488579)
BMC Palliat Care. 2017 Mar 9;16(1):17. (PMID: 28274216)
Public Health Rev. 2022 Sep 06;43:1604856. (PMID: 36148429)
Int J Environ Res Public Health. 2021 Sep 30;18(19):. (PMID: 34639645)
Scand J Prim Health Care. 2016 Dec;34(4):420-427. (PMID: 27822976)
Palliat Med. 2015 Jan;29(1):48-59. (PMID: 25062816)
BMC Med. 2017 May 18;15(1):102. (PMID: 28514961)
J Prim Health Care. 2022 Sep;14(3):207-213. (PMID: 36178836)
PLoS One. 2014 Apr 08;9(4):e93762. (PMID: 24714736)
Palliat Med. 2006 Jul;20(5):487-92. (PMID: 16903401)
PLoS One. 2013 Dec 30;8(12):e84440. (PMID: 24386381)
Can Fam Physician. 2015 Dec;61(12):e577-82. (PMID: 27035008)
Dtsch Med Wochenschr. 2007 Dec;132(49):2620-3. (PMID: 18050025)
Palliat Med. 2005 Mar;19(2):111-8. (PMID: 15810749)
BMC Palliat Care. 2018 May 16;17(1):75. (PMID: 29764435)
BMC Fam Pract. 2013 Mar 25;14:42. (PMID: 23530627)
Asia Pac J Clin Oncol. 2017 Dec;13(6):356-364. (PMID: 28294576)
BJGP Open. 2019 Oct 29;3(3):. (PMID: 31581119)
J Pain Symptom Manage. 2015 Jan;49(1):98-109. (PMID: 24906190)
BMJ Open. 2022 Jan 19;12(1):e053535. (PMID: 35046002)
BMC Fam Pract. 2020 Oct 31;21(1):222. (PMID: 33129251)
BMJ Support Palliat Care. 2016 Sep;6(3):362-8. (PMID: 25743437)
Br J Gen Pract. 2016 Sep;66(650):e647-53. (PMID: 27381483)
BMJ Support Palliat Care. 2023 Jul 4;:. (PMID: 37402541)
J Palliat Care. 2024 Jul;39(3):184-193. (PMID: 38404130)
BMC Health Serv Res. 2018 Nov 8;18(1):841. (PMID: 30409204)
Front Psychol. 2021 Aug 27;12:704590. (PMID: 34512460)
J Pain Symptom Manage. 2004 Oct;28(4):364-72. (PMID: 15471654)
BMC Health Serv Res. 2016 Jan 20;16:22. (PMID: 26787308)
Eur J Gen Pract. 2022 Dec;28(1):224-233. (PMID: 36369760)
J Family Med Prim Care. 2016 Apr-Jun;5(2):234-237. (PMID: 27843819)
J Pain Symptom Manage. 2023 Oct;66(4):320-327.e13. (PMID: 37380146)
BMC Palliat Care. 2022 Sep 21;21(1):162. (PMID: 36127706)
J Palliat Med. 2020 Nov;23(11):1460-1467. (PMID: 32286904)
J Pain Symptom Manage. 2013 Sep;46(3):335-44. (PMID: 23195391)
BMJ Support Palliat Care. 2024 Jan 8;13(e3):e1326-e1334. (PMID: 37463761)
PLoS One. 2016 Jun 23;11(6):e0158188. (PMID: 27337064)
PLoS One. 2017 Feb 1;12(2):e0170168. (PMID: 28146566)
Health Soc Care Community. 2017 Jan;25(1):215-223. (PMID: 26499879)
Health Soc Care Community. 2022 Jan;30(1):91-101. (PMID: 33825245)
BJGP Open. 2021 Apr 26;5(2):. (PMID: 33293409)
J Pain Symptom Manage. 2020 Oct;60(4):828-846.e3. (PMID: 32599152)
- Contributed Indexing:
Keywords: End of life care; Home care services; Knowledge; Palliative care; Physicians; Primary health care; Professional practice
- Publication Date:
Date Created: 20240723 Date Completed: 20240724 Latest Revision: 20240727
- Publication Date:
20250114
- Accession Number:
PMC11264423
- Accession Number:
10.1186/s12913-024-11266-8
- Accession Number:
39044274
No Comments.