General practitioners and palliative care practices: a better knowledge of specific services is still needed.

Autor: Niaré D; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France. daouda.niare@iplesp.upmc.fr., Robert G; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France.; Centre Hospitalier Universitaire (CHU) de Rennes, Service de soins palliatifs, 35033, Rennes Cedex, France.; Université Rennes 1, Rennes, France., Rocquevieille A; Département de Médecine Générale, Université Paris Cité, F-75018, Paris, France., De Geyer L; Université Rennes 1, Rennes, France., Frin M; Université Rennes 1, Rennes, France., Pennec S; Institut National d'études Démographiques (INED), F-93320, Aubervilliers, France.; School of Demography, Australian National University, Canberra, Australia., Hanslik T; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France.; UFR des sciences de la santé Simone-Veil, Université de Versailles Saint-Quentin-en-Yvelines, F-78180, Montigny-le-Bretonneux, France.; Service de médecine interne, Hôpital Ambroise-Paré, Assistance publique-Hôpitaux de Paris, AP-HP, F-92100, Boulogne Billancourt, France., Blanchon T; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France., Rossignol L; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France.; Département de Médecine Générale, Université Paris Cité, F-75018, Paris, France., Morel V; Centre Hospitalier Universitaire (CHU) de Rennes, Service de soins palliatifs, 35033, Rennes Cedex, France.; Université Rennes 1, Rennes, France.; Université de Rennes, INSERM, Centre d'investigation clinique de Rennes (CIC 1414), 35000, Rennes, France.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Jul 23; Vol. 24 (1), pp. 832. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1186/s12913-024-11266-8
Abstrakt: 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).)
Databáze: MEDLINE
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