RESUMO
No disponible
Assuntos
Humanos , Assistência Terminal , Relações Médico-Paciente , Comunicação , Doente TerminalRESUMO
No disponible
Assuntos
Humanos , Assistência Terminal , Cuidados Paliativos , Atenção Primária à Saúde , Atitude Frente a Morte , FamíliaAssuntos
Atividades Cotidianas , Avaliação Geriátrica , Nível de Saúde , Mortalidade , Idoso , Feminino , Humanos , Masculino , Vigilância da População , Valor Preditivo dos Testes , Modelos de Riscos Proporcionais , Estudos Prospectivos , Características de Residência/estatística & dados numéricos , Fatores de Risco , Espanha/epidemiologia , Análise de SobrevidaRESUMO
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.
