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Related Experiment Videos

Building bridges in palliative care: evaluating a GP Facilitator programme.

Cathy Shipman1, Julia Addington-Hall, Margaret Thompson

  • 1Department of Palliative Care and Policy, King's College London, Weston Education Centre, London, UK. catherine.shipman@kcl.ac.uk

Palliative Medicine
|November 5, 2003
PubMed
Summary

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The Macmillan GP Facilitator Programme improved general practitioners' (GPs) awareness and use of palliative care guidelines and fostered positive attitudes towards specialist services. The program enhanced palliative care delivery for patients at home.

Area of Science:

  • Palliative Care
  • General Practice
  • Healthcare Delivery

Background:

  • General Practitioners (GPs) play a crucial role in delivering palliative care.
  • Effective communication and symptom management are key challenges in end-of-life care.
  • The Macmillan GP Facilitator Programme was designed to support GPs in enhancing palliative care services.

Purpose of the Study:

  • To evaluate the Macmillan GP Facilitator Programme's impact on GPs' knowledge, attitudes, and confidence in palliative care.
  • To assess changes in communication with patients and out-of-hours care.
  • To understand the programme's influence on the use of palliative care guidelines and services.

Main Methods:

  • A before-and-after study design with matched geographical controls was employed.

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  • Postal questionnaires using Likert scales measured changes in GP awareness, attitudes, and practice over two years.
  • A qualitative component explored GPs' experiences with the Facilitator Programme.

    • Main Results:

    • Increased use of palliative care guidelines and awareness of day care services in Facilitator districts.
    • Improved GP attitudes towards specialist palliative care services and suggested increased patient satisfaction with out-of-hours care.
    • No significant changes in symptom control confidence; communication regarding cancer diagnosis was lower compared to control districts.

    Conclusions:

    • The GP Facilitator Programme positively impacted GP awareness, guideline use, and attitudes towards specialist palliative care.
    • The programme facilitated improved communication between primary and specialist palliative care providers.
    • This initiative has the potential to significantly enhance end-of-life care for patients at home.