Palliative care by family physicians in the 1990s - Resilience amid reform

Citation
F. Burge et al., Palliative care by family physicians in the 1990s - Resilience amid reform, CAN FAM PHY, 47, 2001, pp. 1989-1995
Citations number
10
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
CANADIAN FAMILY PHYSICIAN
ISSN journal
0008-350X → ACNP
Volume
47
Year of publication
2001
Pages
1989 - 1995
Database
ISI
SICI code
0008-350X(200110)47:<1989:PCBFPI>2.0.ZU;2-M
Abstract
OBJECTIVE To explore issues family physicians face in providing community-b ased palliative care to their patients in the context of a changing health care system. DESIGN Focus groups. SETTING Small (<10000 population), medium-sized (10000 to 50000), and large (>50000) communities in Nova Scotia. PARTICIPANTS Twenty-five men and women physicians with varying years of pra ctice experience in both solo and group practices. METHOD A semistructured approach was used, asking physicians to reflect on recent palliative care experiences in order to explore issues of care. MAIN FINDINGS Five themes emerged from the discussions: resources needed, a vailability of family support, time and money supporting physicians' activi ties, symptom control for patients, and physicians' emotional reactions to caring for dying patients. CONCLUSION With downsizing of hospitals and greater emphasis on community-b ased care, the issues identified in this study will need attention, particu larly in designing an integrated service delivery model for palliative care .