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Titolo:
FACTORS INFLUENCING PALLIATIVE CARE - QUALITATIVE STUDY OF FAMILY PHYSICIANS PRACTICES
Autore:
BROWN JB; SANGSTER M; SWIFT J;
Indirizzi:
UNIV WESTERN ONTARIO,THAMES VALLEY FAMILY PRACTICE RES UNIT,100 COLLIP CIRCLE,SUITE 245 LONDON ON N6G 4X8 CANADA UNIV WESTERN ONTARIO,CTR STUDIES FAMILY MED LONDON ON N6G 4X8 CANADA
Titolo Testata:
Canadian family physician
, volume: 44, anno: 1998,
pagine: 1028 - 1034
SICI:
0008-350X(1998)44:<1028:FIPC-Q>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
MEDICAL-EDUCATION; CANCER-PATIENTS; DYING PATIENTS; PHILOSOPHY; CHALLENGE; NURSES; HOME; ILL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
J.B. Brown et al., "FACTORS INFLUENCING PALLIATIVE CARE - QUALITATIVE STUDY OF FAMILY PHYSICIANS PRACTICES", Canadian family physician, 44, 1998, pp. 1028-1034

Abstract

OBJECTIVE To examine factors that influence family physicians' decisions to practise palliative care. DESIGN Qualitative method of in-depthinterviews. SETTING Southwestern Ontario. PARTICIPANTS Family physicians who practise palliative care on a full-time basis, who practise ona part-time basis, or who have retired from active involvement in palliative cue. METHOD Eleven in-depth interviews were conducted to explore factors that influence family physicians' decisions to practise palliative care and factors that sustain their interest in palliative care. All interviews were audiotaped and transcribed verbatim. The analysis strategy used a phenomenological approach and occurred concurrentlyrather than sequentially. All interview transcriptions were read independently by the researchers. who then compared and combined their analyses. Final analysis involved examining all interviews collectively, thus permitting relationships between and among central themes to emerge. MAIN OUTCOME FINDINGS The overriding theme was a common philosophyof palliative carl focusing on acceptance of death, whole person care. compassion, communication, and team work. Participants' philosophieswere shaped by their education and by professional and personal experiences. In addition, participants articulated personal and systemic factors currently affecting their practice of palliative care. CONCLUSIONS Participants observed that primary care physicians should be responsible for their patients' palliative care within the context of interdisciplinary teams. For medical students to be knowledgeable and sensitive to the needs oi dying patients, palliative care should be given higher priority in the curriculum. Finally, participants argued compellingly for transferring the philosophy of palliative care to the overallpractice of medicine.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 21:42:02