Interprofessional communication between oncologic specialists and general practitioners on end-of-life issues needs improvement
| Autor: | Dick L. Willems, John Jacob Oosterink, Bregje D. Onwuteaka-Philipsen, Jolien J Glaudemans, Mariska Oosterveld-Vlug, H. Roeline W. Pasman |
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| Přispěvatelé: | General practice, Graduate School, Amsterdam Public Health, APH - Aging & Later Life, Public and occupational health, EMGO - Quality of care, CCA - Evaluation of Cancer Care |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Advance care planning
Adult Male medicine.medical_specialty Pathology General Practice Alternative medicine Terminally ill Primary care Medical Oncology Truth Disclosure Interviews as Topic 03 medical and health sciences Advance Care Planning 0302 clinical medicine Nursing Medicine Humans Interdisciplinary communication 030212 general & internal medicine Physician's Role Qualitative Research Aged Physician-Patient Relations Terminal Care business.industry Middle Aged humanities 030220 oncology & carcinogenesis Female Interdisciplinary Communication Qualitative content analysis Family Practice business |
| Zdroj: | Family practice, 33(6), 727-732. Oxford University Press Oosterink, J J, Oosterveld-Vlug, M G, Glaudemans, J J, Pasman, H R W, Willems, D L & Onwuteaka-Philipsen, B D 2016, ' Interprofessional communication between oncologic specialists and general practitioners on end-of-life issues needs improvement ', Family Practice, vol. 33, no. 6, pp. 727-732 . https://doi.org/10.1093/fampra/cmw064 Family Practice, 33(6), 727-732. Oxford University Press |
| ISSN: | 0263-2136 |
| DOI: | 10.1093/fampra/cmw064 |
| Popis: | BACKGROUND: Timely end-of-life (EOL) discussions between patients and physicians are considered essential for high-quality EOL care, but research shows that these discussions frequently do not occur or occur late. In oncology, one barrier for timely EOL discussions is poor collaboration between oncologic specialists and GPs.OBJECTIVE: To explore interprofessional communication and coordination between oncologic specialists and GPs on EOL discussions.METHODS: We conducted in-depth interviews with 16 GPs and 14 oncologic specialists. Interviews were recorded, transcribed verbatim and analysed using qualitative content analysis.RESULTS: EOL discussions were primarily considered the role of the GP, but oncologists' perceptions of their own roles in discussing EOL issues varied. Interprofessional coordination on who discusses what and when was mostly absent. Interprofessional communication of EOL issues usually proceeded using the patient as intermediary. This functioned well but only if three essential conditions were met: the specialist being realistic to patients about limits of treatment, informing the GP adequately and the GP being proactive in initiating EOL issues in time. However, when these conditions were absent, timely EOL discussions did not seem to occur.CONCLUSIONS: EOL discussions are rarely a subject of direct interprofessional communication and mainly proceed through the patient as intermediary. For implementation of EOL discussions into regular care, earlier interprofessional communication and coordination is needed, particularly if barriers for such discussions occur. |
| Databáze: | OpenAIRE |
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