Palliative care by family physicians in the 1990s. Resilience amid reform

To explore issues family physicians face in providing community-based palliative care to their patients in the context of a changing health care system. Focus groups. Small (< 10,000 population), medium-sized (10,000 to 50,000), and large (> 50,000) communities in Nova Scotia. Twenty-five men...

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Bibliographic Details
Published in:Canadian family physician 2001-10, Vol.47 (10), p.1989-1995
Main Authors: Burge, F, McIntyre, P, Twohig, P, Cummings, I, Kaufman, D, Frager, G, Pollett, A
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Attitude to Death
Family - psychology
Family medicine
Family Practice
Female
Focus Groups
Health Planning
Health Resources
Humans
Insurance, Health, Reimbursement
Male
Middle Aged
Nova Scotia
Pain - prevention & control
Palliative Care - organization & administration
Physician-Patient Relations
Social Support
Terminal care
Terminal Care - organization & administration
Terminal Care - psychology
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Summary:To explore issues family physicians face in providing community-based palliative care to their patients in the context of a changing health care system. Focus groups. Small (< 10,000 population), medium-sized (10,000 to 50,000), and large (> 50,000) communities in Nova Scotia. Twenty-five men and women physicians with varying years of practice experience in both solo and group practices. A semistructured approach was used, asking physicians to reflect on recent palliative care experiences in order to explore issues of care. Five themes emerged from the discussions: resources needed, availability of family support, time and money supporting physicians' activities, symptom control for patients, and physicians' emotional reactions to caring for dying patients. With downsizing of hospitals and greater emphasis on community-based care, the issues identified in this study will need attention, particularly in designing an integrated service delivery model for palliative care.
ISSN:0008-350X
1715-5258