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Area of Science:

  • Palliative Care
  • General Practice
  • Healthcare Delivery Models

Background:

  • Most individuals express a preference for home-based end-of-life care.
  • A significant gap exists between patient preference and the actual achievement of home-based palliative care.
  • General Practitioners (GPs) are well-positioned to address this unmet need.

Purpose of the Study:

  • To synthesize evidence-based palliative care frameworks and resources.
  • To develop a cohesive model for GPs to deliver high-quality home-based palliative care.
  • To provide a systematized approach for GPs in managing palliative care.

Main Methods:

  • Literature synthesis of existing palliative care frameworks.
  • Integration of practical resources and team-based care components.
  • Focus on key clinical processes within the GP scope of practice.

Main Results:

  • A model for home-based palliative care delivery by GPs is presented.
  • Key clinical processes include advance care planning and goal-setting.
  • Essential elements for quality care are identified: compassionate GP, care team, and resources.

Conclusions:

  • Home-based palliative care is a core component of general practice.
  • GPs can effectively and efficiently provide palliative care with available resources.
  • The proposed model facilitates systematic, high-quality home-based palliative care.