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The family physician's perceived role in preventing and guiding hospital admissions at the end of life : a focus group study

(2014) ANNALS OF FAMILY MEDICINE. 12(5). p.441-446
Author
Organization
Abstract
PURPOSE : Family physicians play a pivotal role in providing end-of-life care and in enabling terminally ill patients to die in familiar surroundings. The purpose of this study was to explore the family physicians' perceptions of their role and the difficulties they have in preventing and guiding hospital admissions at the end of life. METHODS : Five focus groups were held with family physicians (N = 39) in Belgium. Discussions were transcribed verbatim and analyzed using a constant comparative approach. RESULTS : Five key roles in preventing and guiding hospital admissions at the end of life were identified: as a care planner, anticipating future scenarios; as an initiator of decisions in acute situations, mostly in an advisory manner; as a provider of end-of-life care, in which competency and attitude is considered important; as a provider of support, particularly by being available during acute situations; and as a decision maker, taking overall responsibility. CONCLUSIONS : Family physicians face many different and complex roles and difficulties in preventing and guiding hospital admissions at the end of life. Enhancing the family physician's role as a gatekeeper to hospital services, offering the physicians more end-of-life care training, and developing or expanding initiatives to support them could contribute to a lower proportion of hospital admissions at the end of life.
Keywords
family practice, hospitalization, terminally ill, palliative care, qualitative research, focus groups, EMERGENCY-DEPARTMENT USE, TERMINALLY-ILL PATIENTS, TRENDS IN-PLACE, LAST 6 MONTHS, GENERAL-PRACTITIONERS, PALLIATIVE CARE, CANCER CARE, EUROPEAN COUNTRIES, DEATH, BELGIUM

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MLA
Reyniers, Thijs, et al. “The Family Physician’s Perceived Role in Preventing and Guiding Hospital Admissions at the End of Life : A Focus Group Study.” ANNALS OF FAMILY MEDICINE, vol. 12, no. 5, 2014, pp. 441–46, doi:10.1370/afm.1666.
APA
Reyniers, T., Houttekier, D., Pasman, H. R., Vander Stichele, R., Cohen, J., & Deliens, L. (2014). The family physician’s perceived role in preventing and guiding hospital admissions at the end of life : a focus group study. ANNALS OF FAMILY MEDICINE, 12(5), 441–446. https://doi.org/10.1370/afm.1666
Chicago author-date
Reyniers, Thijs, Dirk Houttekier, H Roeline Pasman, Robert Vander Stichele, Joachim Cohen, and Luc Deliens. 2014. “The Family Physician’s Perceived Role in Preventing and Guiding Hospital Admissions at the End of Life : A Focus Group Study.” ANNALS OF FAMILY MEDICINE 12 (5): 441–46. https://doi.org/10.1370/afm.1666.
Chicago author-date (all authors)
Reyniers, Thijs, Dirk Houttekier, H Roeline Pasman, Robert Vander Stichele, Joachim Cohen, and Luc Deliens. 2014. “The Family Physician’s Perceived Role in Preventing and Guiding Hospital Admissions at the End of Life : A Focus Group Study.” ANNALS OF FAMILY MEDICINE 12 (5): 441–446. doi:10.1370/afm.1666.
Vancouver
1.
Reyniers T, Houttekier D, Pasman HR, Vander Stichele R, Cohen J, Deliens L. The family physician’s perceived role in preventing and guiding hospital admissions at the end of life : a focus group study. ANNALS OF FAMILY MEDICINE. 2014;12(5):441–6.
IEEE
[1]
T. Reyniers, D. Houttekier, H. R. Pasman, R. Vander Stichele, J. Cohen, and L. Deliens, “The family physician’s perceived role in preventing and guiding hospital admissions at the end of life : a focus group study,” ANNALS OF FAMILY MEDICINE, vol. 12, no. 5, pp. 441–446, 2014.
@article{5803990,
  abstract     = {{PURPOSE : Family physicians play a pivotal role in providing end-of-life care and in enabling terminally ill patients to die in familiar surroundings. The purpose of this study was to explore the family physicians' perceptions of their role and the difficulties they have in preventing and guiding hospital admissions at the end of life. 
METHODS : Five focus groups were held with family physicians (N = 39) in Belgium. Discussions were transcribed verbatim and analyzed using a constant comparative approach. 
RESULTS : Five key roles in preventing and guiding hospital admissions at the end of life were identified: as a care planner, anticipating future scenarios; as an initiator of decisions in acute situations, mostly in an advisory manner; as a provider of end-of-life care, in which competency and attitude is considered important; as a provider of support, particularly by being available during acute situations; and as a decision maker, taking overall responsibility. 
CONCLUSIONS : Family physicians face many different and complex roles and difficulties in preventing and guiding hospital admissions at the end of life. Enhancing the family physician's role as a gatekeeper to hospital services, offering the physicians more end-of-life care training, and developing or expanding initiatives to support them could contribute to a lower proportion of hospital admissions at the end of life.}},
  author       = {{Reyniers, Thijs and Houttekier, Dirk and Pasman, H Roeline and Vander Stichele, Robert and Cohen, Joachim and Deliens, Luc}},
  issn         = {{1544-1709}},
  journal      = {{ANNALS OF FAMILY MEDICINE}},
  keywords     = {{family practice,hospitalization,terminally ill,palliative care,qualitative research,focus groups,EMERGENCY-DEPARTMENT USE,TERMINALLY-ILL PATIENTS,TRENDS IN-PLACE,LAST 6 MONTHS,GENERAL-PRACTITIONERS,PALLIATIVE CARE,CANCER CARE,EUROPEAN COUNTRIES,DEATH,BELGIUM}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{441--446}},
  title        = {{The family physician's perceived role in preventing and guiding hospital admissions at the end of life : a focus group study}},
  url          = {{http://dx.doi.org/10.1370/afm.1666}},
  volume       = {{12}},
  year         = {{2014}},
}

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