Décisions de soins palliatifs : place du médecin traitant

Abstract : Introduction: While general practitioners have a central place in health system, population is getter older and palliative care situations are multiplying. Material and methods: 45 general practitioners were involved in our descriptive and analytical study. The main objective of the study was to identify which place general practitioners have in palliative care decisions for their patients. Actors involved in palliative care discussion were part of our secondary objective. Results: General p practitioners followed along the last 12 months around 4,48 palliative care patients. While 74,8 % of them were informed about their patients when hospitalized, only 37,4 % were involved in palliative care decisions. However, most of them think that their opinion could be important for those decisions. Continuity of care should be improved while 34,1 % of the patients were followed by general practitioners alone. For most of them, phone is the best tool that could improve their involvement in palliative care decisions. Conclusion: Our study exposed a lack of information transmission between general practitioners and specialists. This results in a deficient continuity of care, often leaving general practitioners alone when complex situations occur. Early palliative care, general practitioner's formation and quality of transmitted information should be improved.
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https://dumas.ccsd.cnrs.fr/dumas-02088789
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Submitted on : Wednesday, April 3, 2019 - 10:48:16 AM
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Hélène Kilfiger. Décisions de soins palliatifs : place du médecin traitant. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02088789⟩

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