General Practitioners' Attitudes towards Essential Competencies in End-of-Life Care: A Cross-Sectional Survey.

Détails

Ressource 1Télécharger: PMID28146566.pdf (1554.25 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_BD8B73ED25B4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
General Practitioners' Attitudes towards Essential Competencies in End-of-Life Care: A Cross-Sectional Survey.
Périodique
PloS one
Auteur⸱e⸱s
Giezendanner S., Jung C., Banderet H.R., Otte I.C., Gudat H., Haller D.M., Elger B.S., Zemp E., Bally K.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
12
Numéro
2
Pages
e0170168
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Identifying essential competencies in end-of-life care, as well as general practitioners' (GPs) confidence in these competencies, is essential to guide training and quality improvement efforts in this domain.
To determine which competencies in end-of-life care are considered important by GPs, to assess GPs' confidence in these competencies in a European context and their reasons to refer terminally ill patients to a specialist.
Cross-sectional postal survey involving a stratified random sample of 2000 GPs in Switzerland in 2014.
Survey development was informed by a previous qualitative exploration of relevant end-of-life GP competencies. Main outcome measures were GPs' assessment of the importance of and confidence in 18 attributes of end-of-life care competencies, and reasons for transferring care of terminally-ill patients to a specialist. GP characteristics associated with main outcome measures were tested using multivariate regression models.
The response rate was 31%. Ninety-nine percent of GPs considered the recognition and treatment of pain as important, 86% felt confident about it. Few GPs felt confident in cultural (16%), spiritual (38%) and legal end-of-life competencies such as responding to patients seeking assisted suicide (35%) although more than half of the respondents regarded these competencies as important. Most frequent reasons to refer terminally ill patients to a specialist were lack of time (30%), better training of specialists (23%) and end-of-life care being incompatible with other duties (19%). In multiple regression analyses, confidence in end-of-life care was positively associated with GPs' age, practice size, home visits and palliative training.
GPs considered non-somatic competencies (such as spiritual, cultural, ethical and legal aspects) nearly as important as pain and symptom control. Yet, few GPs felt confident in these non-somatic competencies. These findings should inform training and quality improvement efforts in this domain, in particular for younger, less experienced GPs.

Pubmed
Web of science
Open Access
Oui
Création de la notice
02/02/2017 15:22
Dernière modification de la notice
20/08/2019 15:31
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