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Br J Gen Pract. 2006 Jan;56(522):20-6.

Good end-of-life care according to patients and their GPs.

Author information

1
Department of Public and Occupational Health, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands. s.borgsteede@vumc.nl

Abstract

BACKGROUND:

Most patients prefer to die at home, where a GP provides end-of-life care. A few previous studies have been directed at the GPs' values on good end-of-life care, yet no study combined values of patients and their own GP.

AIM:

To explore the aspects valued by both patients and GPs in end-of-life care at home, and to reflect upon the results in the context of future developments in primary care.

DESIGN OF STUDY:

Interviews with patients and their own GP.

SETTING:

Primary care in the Netherlands.

METHOD:

Qualitative, semi-structured interviews with 20 GPs and 30 of their patients with a life expectancy of less than 6 months, and cancer, heart failure or chronic obstructive pulmonary disease as underlying disease.

RESULTS:

Patients and GPs had comparable perceptions of good end-of-life care. Patients and GPs identified four core items that they valued in end-of-life care: availability of the GP for home visits and after office-hours, medical competence and cooperation with other professionals, attention and continuity of care.

CONCLUSIONS:

Future developments in the organisation of primary care such as the restriction of time for home visits, more part-time jobs and GP cooperatives responsible for care after office hours, may threaten valued aspects in end-of-life care.

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PMID:
16438811
PMCID:
PMC1821412
[Indexed for MEDLINE]
Free PMC Article

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