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Does the GP make a difference in palliative care?

Does the GP make a difference in palliative care? . Birgit Aabom General practitioner, ph.d. Aabom B, Kragstrup J, Vondeling H, Bakketeig LS, Støvring H. Population-based study of place of death of patients with cancer: implications for GPs. Br J Gen Pract 2005; 55:684-9. Death. GP.

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Does the GP make a difference in palliative care?

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  1. Does the GP make a difference in palliative care? Birgit Aabom General practitioner, ph.d.

  2. Aabom B, Kragstrup J, Vondeling H, Bakketeig LS, Støvring H. Population-based study of place of death of patients with cancer: implications for GPs. Br J Gen Pract 2005; 55:684-9.

  3. Death GP GP GP Hospital staff Palliative team /Hospice

  4. Interview study

  5. “…they are good at that….. raising your spirits…….both the doctors and the nurses…. I would say you could use them as role models. They are incredibly careful and fantastic at keeping up ones spirit.” ( B12, 1. interview ) • “…yes, they phone you and ask how you are feeling, tell you that your blood tests are OK. I have great respect for this. I think they do it very well…” ( B 1, 1. interview ) • “When I come to the centre….. it is as if they have been waiting for me to come…” ( A 6, 1. interview ) Aabom B, Pfeiffer P. Why are some patients in treatment for advanced cancer reluctant to consult their GP? Scand J Prim Health Care 2009; 27: 58-62.

  6. ”..Not used my GP, he does not know the treatments I receive” ( Patient B4, 2. interview ) • “My GP is not up-to-date” ( Patient B5, 1. interview )

  7. “A lot of times I need to talk. Then I decide on my way to the hospital that I want to talk with one of the staff- it might be something physical or something psychological- but the problem is, that I share room with others, the room is filled with people and I don’t want to share my problems with the others in the ward, so I don’t say anything” (Patient A6, 3. interview)

  8. “But it is possible that the talk I miss with the hospital doctors that I could get that from my GP. • I could pay him a visit. Then he could discuss my case with the oncologist, take a few days to make himself acquainted with the situation, maybe go into details with the hospital doctors about specific questions I have. • He could then follow my case and support me, that` s some of the thoughts I have had.” (Patient B1, 2. interview)

  9. Conclusion: • Yes, the GP makes a difference • GP home visit important for cancer patients • However, GP loosing contact to late-stage cancer • patients – (also) due to patient factors • Patients had increasing unmet psychosocial needs as • the disease progressed

  10. Table 8. Risk of dying in hospital in relation to GP home visits (+/- GP) among patients with and without a terminal declaration (+/- TD)

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