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Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study

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Abstract
Background: In the Netherlands, out-of-hours primary care has been re-organized from small on-call rota groups to large-scale GP co-operatives. However, out-of-hours palliative care is an area of concern. According to studies in the UK, the transfer of information about terminally ill patients to GP co-operatives seems to be poor, resulting in care that is often inadequate. Our aim was to investigate the experiences of GPs in the Netherlands about the quality of out-of-hours palliative care provided by GP co-operatives, and to identify elements of care that might need to be improved. Methods : Setting: General practice. Design: Qualitative study, using three focus group discussions, analysed in a qualitative descriptive approach. Results : GPs participating in the focus groups, considered the quality of out-of-hours palliative care that is provided by GP co-operatives to be meagre. The service provided by the co-operatives was designed for acute medical problems, rather than for palliative care needs. The GPs reported three major problems: (1) lack of adequate information at the GP out-of-hours service; (2) lack of anticipatory care during office hours; and (3) absence of a palliative care policy in the GP co-operatives. Conclusions : Although GP co-operatives are capable of providing continuity in palliative care, improvements could be achieved if GPs and GP co-operatives address the problems mentioned above.
Keywords
palliative care, information transfer, out-of-hours, General practice, focus group, QUALITATIVE DESCRIPTION, CANCER, COMMUNITY

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MLA
Schweitzer, Bart, Nettie Blankenstein, Luc Deliens, et al. “Out-of-hours Palliative Care Provided by GP Co-operatives in the Netherlands: a Focus Group Study.” EUROPEAN JOURNAL OF GENERAL PRACTICE 17.3 (2011): 160–166. Print.
APA
Schweitzer, B., Blankenstein, N., Deliens, L., & van der Horst, H. (2011). Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study. EUROPEAN JOURNAL OF GENERAL PRACTICE, 17(3), 160–166.
Chicago author-date
Schweitzer, Bart, Nettie Blankenstein, Luc Deliens, and Henriëtte van der Horst. 2011. “Out-of-hours Palliative Care Provided by GP Co-operatives in the Netherlands: a Focus Group Study.” European Journal of General Practice 17 (3): 160–166.
Chicago author-date (all authors)
Schweitzer, Bart, Nettie Blankenstein, Luc Deliens, and Henriëtte van der Horst. 2011. “Out-of-hours Palliative Care Provided by GP Co-operatives in the Netherlands: a Focus Group Study.” European Journal of General Practice 17 (3): 160–166.
Vancouver
1.
Schweitzer B, Blankenstein N, Deliens L, van der Horst H. Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study. EUROPEAN JOURNAL OF GENERAL PRACTICE. 2011;17(3):160–6.
IEEE
[1]
B. Schweitzer, N. Blankenstein, L. Deliens, and H. van der Horst, “Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study,” EUROPEAN JOURNAL OF GENERAL PRACTICE, vol. 17, no. 3, pp. 160–166, 2011.
@article{5824992,
  abstract     = {Background: In the Netherlands, out-of-hours primary care has been re-organized from small on-call rota groups to large-scale GP co-operatives. However, out-of-hours palliative care is an area of concern. According to studies in the UK, the transfer of information about terminally ill patients to GP co-operatives seems to be poor, resulting in care that is often inadequate. Our aim was to investigate the experiences of GPs in the Netherlands about the quality of out-of-hours palliative care provided by GP co-operatives, and to identify elements of care that might need to be improved. Methods : Setting: General practice. Design: Qualitative study, using three focus group discussions, analysed in a qualitative descriptive approach. Results : GPs participating in the focus groups, considered the quality of out-of-hours palliative care that is provided by GP co-operatives to be meagre. The service provided by the co-operatives was designed for acute medical problems, rather than for palliative care needs. The GPs reported three major problems: (1) lack of adequate information at the GP out-of-hours service; (2) lack of anticipatory care during office hours; and (3) absence of a palliative care policy in the GP co-operatives. 
Conclusions : Although GP co-operatives are capable of providing continuity in palliative care, improvements could be achieved if GPs and GP co-operatives address the problems mentioned above.},
  author       = {Schweitzer, Bart and Blankenstein, Nettie and Deliens, Luc and van der Horst, Henriëtte},
  issn         = {1381-4788},
  journal      = {EUROPEAN JOURNAL OF GENERAL PRACTICE},
  keywords     = {palliative care,information transfer,out-of-hours,General practice,focus group,QUALITATIVE DESCRIPTION,CANCER,COMMUNITY},
  language     = {eng},
  number       = {3},
  pages        = {160--166},
  title        = {Out-of-hours palliative care provided by GP co-operatives in the Netherlands: a focus group study},
  url          = {http://dx.doi.org/10.3109/13814788.2011.584182},
  volume       = {17},
  year         = {2011},
}

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