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Doctor's understanding of palliative care

Lookup NU author(s): Professor Barbara Hanratty, Professor Carl May, Professor Christopher Ward

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Abstract

Palliative care has been challenged to share its message with a wider audience, and for many years it has been articulating an approach that is suitable for all patients. However, it is not clear how widely this message has been accepted. As part of a study into end-of-life care for heart failure, we conducted seven focus groups with doctors in general practice, palliative medicine, cardiology, geriatrics and general medicine. In these, we explored doctors' understanding of palliative care. Participants displayed a reasonable grasp of the wider concept of palliative care, but the specialists' role was ill-defined, reflected in scepticism about their place outside of cancer. Perceptions of palliative care fell into three broad areas: it was more than a service, about managing dying, and the concern of nurses, rather than doctors. Palliative care was welcomed as providing permission to fail, whilst representing a dilemma between quantity and quality of life for the interviewees. Our work suggests that specialist palliative care has been partially successful in getting their message across, and poor understanding or receptivity are not major barriers to implementing palliative care. Educational or other interventions to implement change in palliative care need to acknowledge the complex interaction of factors influencing physicians' behaviour. © 2006 Edward Arnold (Publishers) Ltd.


Publication metadata

Author(s): Hanratty B, Hibbert D, Mair F, May C, Ward C, Corcoran G, Capewell S, Litva A

Publication type: Article

Publication status: Published

Journal: Palliative Medicine

Year: 2006

Volume: 20

Issue: 5

Pages: 493-497

ISSN (print): 0269-2163

ISSN (electronic): 1477-030X

Publisher: Sage

URL: http://dx.doi.org/10.1191/0269216306pm1162oa

DOI: 10.1191/0269216306pm1162oa

PubMed id: 16903402


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