Subject(s)
Palliative Care , Terminal Care , Attitude to Death , Family , Humans , Primary Health CareABSTRACT
No disponible
Subject(s)
Humans , Terminal Care , Physician-Patient Relations , Communication , Terminally IllABSTRACT
No disponible
Subject(s)
Humans , Terminal Care , Palliative Care , Primary Health Care , Attitude to Death , FamilySubject(s)
Activities of Daily Living , Geriatric Assessment , Health Status , Mortality , Aged , Female , Humans , Male , Population Surveillance , Predictive Value of Tests , Proportional Hazards Models , Prospective Studies , Residence Characteristics/statistics & numerical data , Risk Factors , Spain/epidemiology , Survival AnalysisABSTRACT
OBJECTIVES: To find the views and attitudes of primary care professionals to the setting-up of a palliative treatments programme. DESIGN: A qualitative research study with discussion groups. SETTING: Primary care. PARTICIPANTS: 60 primary care professionals, 30 doctors and 30 nurses, selected at random and placed in 6 discussion groups. MEASUREMENTS AND MAIN RESULTS: Collection and analysis of the views expressed in the discussion groups. The professionals saw as problems: poor communication between levels of care, inadequate organisation and communication within the primary care teams and difficulties in obtaining opiates at pharmacy offices. Lack of training was not seen as a problem. The care organisation models suggested varied from those based on the first care level to those exclusively dependent on specialist units. CONCLUSIONS: The proper development of palliative treatment is subject to various problems identified by the professionals. These have to be tackled before the programmes are set up.
