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Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information
BACKGROUND: Out-of-hours GP care in England, Denmark and the Netherlands has been reorganised and is now provided by large scale GP co-operatives. Adequate transfer of information is necessary in order to assure continuity of care, which is of major importance in palliative care. We conducted a stud...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789043/ https://www.ncbi.nlm.nih.gov/pubmed/19943956 http://dx.doi.org/10.1186/1472-684X-8-17 |
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author | Schweitzer, Bart PM Blankenstein, Nettie Deliens, Luc Horst, Henriette van der |
author_facet | Schweitzer, Bart PM Blankenstein, Nettie Deliens, Luc Horst, Henriette van der |
author_sort | Schweitzer, Bart PM |
collection | PubMed |
description | BACKGROUND: Out-of-hours GP care in England, Denmark and the Netherlands has been reorganised and is now provided by large scale GP co-operatives. Adequate transfer of information is necessary in order to assure continuity of care, which is of major importance in palliative care. We conducted a study to assess the availability, content and effect of information transferred to the GP co-operatives. METHODS: Cross-sectional exploratory study of all palliative care phone calls during a period of one year to a GP co-operative. RESULTS: The total number of phone calls about patients who needed palliative care was 0.75% of all calls to the GP co-operative. Information was transferred by GPs on 25.5% of palliative care patient calls, and on 12% of palliative care patient calls from residential care homes. For terminally ill patients the number of information transfers increased to 28.9%. When information was transferred, the content consisted mainly of clinical data. Information about the diagnosis and current problems was transferred in more than 90% of cases, information about the patient's wishes in 45% and information about the patient's psychosocial situation in 30.5% of cases. A home visit was made after 53% of the palliative care calls. When information was transferred, fewer patients were referred to a hospital. CONCLUSION: GPs frequently fail to transfer information about their palliative care patients to the GP co-operatives. Locums working at the GP co-operative are thus required to provide palliative care in complex situations without receiving adequate information GPs should be encouraged and trained to make this information available to the GP co-operatives. |
format | Text |
id | pubmed-2789043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27890432009-12-05 Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information Schweitzer, Bart PM Blankenstein, Nettie Deliens, Luc Horst, Henriette van der BMC Palliat Care Research article BACKGROUND: Out-of-hours GP care in England, Denmark and the Netherlands has been reorganised and is now provided by large scale GP co-operatives. Adequate transfer of information is necessary in order to assure continuity of care, which is of major importance in palliative care. We conducted a study to assess the availability, content and effect of information transferred to the GP co-operatives. METHODS: Cross-sectional exploratory study of all palliative care phone calls during a period of one year to a GP co-operative. RESULTS: The total number of phone calls about patients who needed palliative care was 0.75% of all calls to the GP co-operative. Information was transferred by GPs on 25.5% of palliative care patient calls, and on 12% of palliative care patient calls from residential care homes. For terminally ill patients the number of information transfers increased to 28.9%. When information was transferred, the content consisted mainly of clinical data. Information about the diagnosis and current problems was transferred in more than 90% of cases, information about the patient's wishes in 45% and information about the patient's psychosocial situation in 30.5% of cases. A home visit was made after 53% of the palliative care calls. When information was transferred, fewer patients were referred to a hospital. CONCLUSION: GPs frequently fail to transfer information about their palliative care patients to the GP co-operatives. Locums working at the GP co-operative are thus required to provide palliative care in complex situations without receiving adequate information GPs should be encouraged and trained to make this information available to the GP co-operatives. BioMed Central 2009-11-28 /pmc/articles/PMC2789043/ /pubmed/19943956 http://dx.doi.org/10.1186/1472-684X-8-17 Text en Copyright ©2009 Schweitzer et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research article Schweitzer, Bart PM Blankenstein, Nettie Deliens, Luc Horst, Henriette van der Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title | Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title_full | Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title_fullStr | Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title_full_unstemmed | Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title_short | Out-of-hours palliative care provided by GP co-operatives: availability, content and effect of transferred information |
title_sort | out-of-hours palliative care provided by gp co-operatives: availability, content and effect of transferred information |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2789043/ https://www.ncbi.nlm.nih.gov/pubmed/19943956 http://dx.doi.org/10.1186/1472-684X-8-17 |
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