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Perceived barriers and facilitators for general practitioner-patient communication in palliative care:a systematic review

Slort, W and Schweitzer, B P M and Blankenstein, A H and Abarshi, E A and Riphagen, I I and Echteld, M A and Aaronson, N K and van der Horst, He and Deliens, L (2011) Perceived barriers and facilitators for general practitioner-patient communication in palliative care:a systematic review. Palliative Medicine, 25 (6). pp. 613-629.

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Abstract

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.

Item Type: Article
Journal or Publication Title: Palliative Medicine
Uncontrolled Keywords: Communication ; family physicians ; palliative care ; physician–patient relationship ; systematic review
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 56330
Deposited By: ep_importer_pure
Deposited On: 30 Jul 2012 10:11
Refereed?: Yes
Published?: Published
Last Modified: 19 Mar 2013 11:14
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/56330

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