Out-of-hours palliative care: what are the educational needs and preferences of general practitioners?

BMJ Supportive & Palliative Care
Claire Magee, Jonathan Koffman

Abstract

Offering genuine choice to patients over place of care and death requires the provision of high-quality palliative care 24/7. This study examines the confidence of out-of-hours general practitioners (GPs) in symptom control and end of life prescribing, and identifies their educational needs and preferences in order to inform recommendations for future education. A self-completion postal survey was designed and sent to 1005 GPs working for an independent provider of out-of-hours services across England. Quantitative data were analysed using descriptive statistics and non-parametric tests. 203 (20.3%) GPs completed the survey questionnaire; 13.3% (n=27) worked exclusively out-of-hours. Confidence in assessing palliative care emergencies (42.8%, n=87: 'not so confident' or 'not at all confident'), managing symptoms in non-cancer patients (39.4%, n=80) and prescribing a new syringe driver (39.0%, n=79) was lowest. Lower confidence was associated with infrequent exposure to palliative patients (p<0.05) and lack of training in palliative care (p<0.05); 12.8% (n=26) had never received formal training. Educational preferences were closely associated with confidence (p<0.0005); the topics above were most requested. E-learning was the pr...Continue Reading

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Citations

Oct 5, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·K WentlandtE Kaya
Mar 4, 2020·The American Journal of Hospice & Palliative Care·Beverly Rosa WilliamsKathryn L Burgio
Sep 8, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Evie PapavasiliouStephen Barclay

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