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General practitioners and palliative care practices: a better knowledge of specific services is still needed.
Niaré, Daouda; Robert, Guillaume; Rocquevieille, Auriane; De Geyer, Loïc; Frin, Maguy; Pennec, Sophie; Hanslik, Thomas; Blanchon, Thierry; Rossignol, Louise; Morel, Vincent.
Afiliación
  • Niaré D; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France. daouda.niare@iplesp.upmc.fr.
  • Robert G; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France.
  • Rocquevieille A; Centre Hospitalier Universitaire (CHU) de Rennes, Service de soins palliatifs, 35033, Rennes Cedex, France.
  • De Geyer L; Université Rennes 1, Rennes, France.
  • Frin M; Département de Médecine Générale, Université Paris Cité, F-75018, Paris, France.
  • Pennec S; Université Rennes 1, Rennes, France.
  • Hanslik T; Université Rennes 1, Rennes, France.
  • Blanchon T; Institut National d'études Démographiques (INED), F-93320, Aubervilliers, France.
  • Rossignol L; School of Demography, Australian National University, Canberra, Australia.
  • Morel V; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, F-75012, Paris, France.
BMC Health Serv Res ; 24(1): 832, 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39044274
ABSTRACT

BACKGROUND:

France allows deep sedation for pain relief, but not for euthanasia. In anticipation of an increase in home-based palliative care, the role of general practitioners is central to the design of outpatient palliative care services. This study aimed to describe the knowledge, attitudes, and practices of general practitioners in mainland France regarding palliative and end of life care.

METHODS:

This was a national descriptive cross-sectional study within the Sentinelles network. Self-report questionnaires were distributed to general practitioners between November 2020 and November 2021. A descriptive analysis was carried out.

RESULTS:

Out of the 123 participating general practitioners, 84% had received academic training in palliative care (n = 104). While a significant majority (69%) expressed comfort in pain management, only a quarter (25%) declared that they were competent at indicating deep and continuous sedation for pain relief. Awareness of outpatient palliative care facilities close to their place of practice such as hospitalization at home was over 97% (n = 117/120). Awareness of hospital facilities, including identified palliative care beds on hospital wards and palliative care units, was lower (75% (n = 59/79) and 86% (n = 86/100), respectively).

CONCLUSIONS:

Our results suggest that French general practitioners are reasonably aware of palliative care resources available. However, there is room for improvement, particularly in understanding hospital-based facilities. Furthermore, a quarter of the general practitioners expressed discomfort with deep and continuous sedation for pain relief, highlighting the need for increased training in this specific aspect of palliative and end of life care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Médicos Generales Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Médicos Generales Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido