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Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review

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Perceived barriers and facilitators for general practitioner-patient communication in palliative care : a systematic review. / Slort, W; Schweitzer, B P M; Blankenstein, A H; Abarshi, E A; Riphagen, I I; Echteld, M A; Aaronson, N K; van der Horst, He; Deliens, L.

In: Palliative Medicine, Vol. 25, No. 6, 09.2011, p. 613-629.

Research output: Contribution to journalJournal article

Harvard

Slort, W, Schweitzer, BPM, Blankenstein, AH, Abarshi, EA, Riphagen, II, Echteld, MA, Aaronson, NK, van der Horst, H & Deliens, L 2011, 'Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review' Palliative Medicine, vol. 25, no. 6, pp. 613-629. https://doi.org/10.1177/0269216310395987

APA

Slort, W., Schweitzer, B. P. M., Blankenstein, A. H., Abarshi, E. A., Riphagen, I. I., Echteld, M. A., ... Deliens, L. (2011). Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review. Palliative Medicine, 25(6), 613-629. https://doi.org/10.1177/0269216310395987

Vancouver

Slort W, Schweitzer BPM, Blankenstein AH, Abarshi EA, Riphagen II, Echteld MA et al. Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review. Palliative Medicine. 2011 Sep;25(6):613-629. https://doi.org/10.1177/0269216310395987

Author

Slort, W ; Schweitzer, B P M ; Blankenstein, A H ; Abarshi, E A ; Riphagen, I I ; Echteld, M A ; Aaronson, N K ; van der Horst, He ; Deliens, L. / Perceived barriers and facilitators for general practitioner-patient communication in palliative care : a systematic review. In: Palliative Medicine. 2011 ; Vol. 25, No. 6. pp. 613-629.

Bibtex

@article{a25de42097cd494a8136f5903b79817a,
title = "Perceived barriers and facilitators for general practitioner-patient communication in palliative care: a systematic review",
abstract = "While effective general practitioner (GP)-patient communication is required for the provision of good palliative care, barriers and facilitators for this communication are largely unknown. We aimed to identify barriers and facilitators for GP-patient communication in palliative care. In a systematic review seven computerized databases were searched to find empirical studies on GP-patient communication in palliative care. Fifteen qualitative studies and seven quantitative questionnaire studies were included. The main perceived barriers were GPs' lack of availability, and patients' and GPs' ambivalence to discuss 'bad prognosis'. Main perceived facilitators were GPs being available, initiating discussion about several end-of-life issues and anticipating various scenarios. Lack of availability and failure to discuss former mistakes appear to be blind spots of GPs. GPs should be more forthcoming to initiate discussions with palliative care patients about prognosis and end-of-life issues. Empirical studies are needed to investigate the effectiveness of the perceived barriers and facilitators.",
keywords = "Communication , family physicians , palliative care , physician–patient relationship , systematic review",
author = "W Slort and Schweitzer, {B P M} and Blankenstein, {A H} and Abarshi, {E A} and Riphagen, {I I} and Echteld, {M A} and Aaronson, {N K} and {van der Horst}, He and L Deliens",
year = "2011",
month = "9",
doi = "10.1177/0269216310395987",
language = "English",
volume = "25",
pages = "613--629",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "6",

}

RIS

TY - JOUR

T1 - Perceived barriers and facilitators for general practitioner-patient communication in palliative care

T2 - a systematic review

AU - Slort, W

AU - Schweitzer, B P M

AU - Blankenstein, A H

AU - Abarshi, E A

AU - Riphagen, I I

AU - Echteld, M A

AU - Aaronson, N K

AU - van der Horst, He

AU - Deliens, L

PY - 2011/9

Y1 - 2011/9

N2 - While effective general practitioner (GP)-patient communication is required for the provision of good palliative care, barriers and facilitators for this communication are largely unknown. We aimed to identify barriers and facilitators for GP-patient communication in palliative care. In a systematic review seven computerized databases were searched to find empirical studies on GP-patient communication in palliative care. Fifteen qualitative studies and seven quantitative questionnaire studies were included. The main perceived barriers were GPs' lack of availability, and patients' and GPs' ambivalence to discuss 'bad prognosis'. Main perceived facilitators were GPs being available, initiating discussion about several end-of-life issues and anticipating various scenarios. Lack of availability and failure to discuss former mistakes appear to be blind spots of GPs. GPs should be more forthcoming to initiate discussions with palliative care patients about prognosis and end-of-life issues. Empirical studies are needed to investigate the effectiveness of the perceived barriers and facilitators.

AB - While effective general practitioner (GP)-patient communication is required for the provision of good palliative care, barriers and facilitators for this communication are largely unknown. We aimed to identify barriers and facilitators for GP-patient communication in palliative care. In a systematic review seven computerized databases were searched to find empirical studies on GP-patient communication in palliative care. Fifteen qualitative studies and seven quantitative questionnaire studies were included. The main perceived barriers were GPs' lack of availability, and patients' and GPs' ambivalence to discuss 'bad prognosis'. Main perceived facilitators were GPs being available, initiating discussion about several end-of-life issues and anticipating various scenarios. Lack of availability and failure to discuss former mistakes appear to be blind spots of GPs. GPs should be more forthcoming to initiate discussions with palliative care patients about prognosis and end-of-life issues. Empirical studies are needed to investigate the effectiveness of the perceived barriers and facilitators.

KW - Communication

KW - family physicians

KW - palliative care

KW - physician–patient relationship

KW - systematic review

U2 - 10.1177/0269216310395987

DO - 10.1177/0269216310395987

M3 - Journal article

VL - 25

SP - 613

EP - 629

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 6

ER -