期刊
PALLIATIVE MEDICINE
卷 25, 期 6, 页码 613-629出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0269216310395987
关键词
Communication; family physicians; palliative care; physician-patient relationship; systematic review
类别
资金
- Amsterdam Comprehensive Cancer Centre
- Eindhoven Comprehensive Cancer Centre
- CZ health care insurances
- Pfizer bv
- Janivo Foundation
While effective general practitioner (GP)-patient communication is required for the provision of good palliative care, barriers and facilitators for this communication are largely unknown. We aimed to identify barriers and facilitators for GP-patient communication in palliative care. In a systematic review seven computerized databases were searched to find empirical studies on GP-patient communication in palliative care. Fifteen qualitative studies and seven quantitative questionnaire studies were included. The main perceived barriers were GPs' lack of availability, and patients' and GPs' ambivalence to discuss 'bad prognosis'. Main perceived facilitators were GPs being available, initiating discussion about several end-of-life issues and anticipating various scenarios. Lack of availability and failure to discuss former mistakes appear to be blind spots of GPs. GPs should be more forthcoming to initiate discussions with palliative care patients about prognosis and end-of-life issues. Empirical studies are needed to investigate the effectiveness of the perceived barriers and facilitators.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据