Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/95920 https://doi.org/10.3390/ijerph18147282 |
Resumo: | Background: Aggravated by the COVID-19 pandemic, the provision of palliative care for patients with palliative care needs emerges as a necessity more than ever. Most are managed in primary care by their family physicians (FP). This study aimed to understand the perspectives of specialist and trainee FPs about their role in palliative care. Methods: we conducted a double focus-group study consisting of two separate online focus-groups, one with FP specialists (n = 9) and one with FP trainees (n = 10). Results: FPs already gather two fundamental skills for the provision of palliative care: the capacity to identify patients’ needs beyond physical symptoms and the recognition that the patient belongs to a familiar, psychosocial, and even spiritual environment. They perceive their role in palliative care to be four-fold: early identification of patients with palliative care needs, initial treatment, symptom management, and patient advocacy. Participants recognized the need for palliative care training and provided suggestions for training programs. Conclusion: FPs share a holistic approach and identify multiple roles they can play in palliative care, from screening to care and advocacy. Organizational barriers must be addressed. Short training programs that combine theory, practice, and experiential learning may further the potential for FPs to contribute to palliative care. © 2021 by the authors. Licensee MDPI, Basel, Switzerland. |
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Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in PortugalFocus group onlinePalliative carePrimary careTraining programFocus GroupsHumansPandemicsPhysicians, FamilyPortugalSARS-CoV-2COVID-19Palliative CareBackground: Aggravated by the COVID-19 pandemic, the provision of palliative care for patients with palliative care needs emerges as a necessity more than ever. Most are managed in primary care by their family physicians (FP). This study aimed to understand the perspectives of specialist and trainee FPs about their role in palliative care. Methods: we conducted a double focus-group study consisting of two separate online focus-groups, one with FP specialists (n = 9) and one with FP trainees (n = 10). Results: FPs already gather two fundamental skills for the provision of palliative care: the capacity to identify patients’ needs beyond physical symptoms and the recognition that the patient belongs to a familiar, psychosocial, and even spiritual environment. They perceive their role in palliative care to be four-fold: early identification of patients with palliative care needs, initial treatment, symptom management, and patient advocacy. Participants recognized the need for palliative care training and provided suggestions for training programs. Conclusion: FPs share a holistic approach and identify multiple roles they can play in palliative care, from screening to care and advocacy. Organizational barriers must be addressed. Short training programs that combine theory, practice, and experiential learning may further the potential for FPs to contribute to palliative care. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.MDPI2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/95920http://hdl.handle.net/10316/95920https://doi.org/10.3390/ijerph18147282eng1660-4601Cardoso, Carlos SeiçaPrazeres, FilipeXavier, BeatrizGomes, Bárbarainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-05-25T01:42:38Zoai:estudogeral.uc.pt:10316/95920Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:14:18.931724Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
title |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
spellingShingle |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal Cardoso, Carlos Seiça Focus group online Palliative care Primary care Training program Focus Groups Humans Pandemics Physicians, Family Portugal SARS-CoV-2 COVID-19 Palliative Care |
title_short |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
title_full |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
title_fullStr |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
title_full_unstemmed |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
title_sort |
Family Physicians' Perspectives on Their Role in Palliative Care: A Double Focus Group in Portugal |
author |
Cardoso, Carlos Seiça |
author_facet |
Cardoso, Carlos Seiça Prazeres, Filipe Xavier, Beatriz Gomes, Bárbara |
author_role |
author |
author2 |
Prazeres, Filipe Xavier, Beatriz Gomes, Bárbara |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cardoso, Carlos Seiça Prazeres, Filipe Xavier, Beatriz Gomes, Bárbara |
dc.subject.por.fl_str_mv |
Focus group online Palliative care Primary care Training program Focus Groups Humans Pandemics Physicians, Family Portugal SARS-CoV-2 COVID-19 Palliative Care |
topic |
Focus group online Palliative care Primary care Training program Focus Groups Humans Pandemics Physicians, Family Portugal SARS-CoV-2 COVID-19 Palliative Care |
description |
Background: Aggravated by the COVID-19 pandemic, the provision of palliative care for patients with palliative care needs emerges as a necessity more than ever. Most are managed in primary care by their family physicians (FP). This study aimed to understand the perspectives of specialist and trainee FPs about their role in palliative care. Methods: we conducted a double focus-group study consisting of two separate online focus-groups, one with FP specialists (n = 9) and one with FP trainees (n = 10). Results: FPs already gather two fundamental skills for the provision of palliative care: the capacity to identify patients’ needs beyond physical symptoms and the recognition that the patient belongs to a familiar, psychosocial, and even spiritual environment. They perceive their role in palliative care to be four-fold: early identification of patients with palliative care needs, initial treatment, symptom management, and patient advocacy. Participants recognized the need for palliative care training and provided suggestions for training programs. Conclusion: FPs share a holistic approach and identify multiple roles they can play in palliative care, from screening to care and advocacy. Organizational barriers must be addressed. Short training programs that combine theory, practice, and experiential learning may further the potential for FPs to contribute to palliative care. © 2021 by the authors. Licensee MDPI, Basel, Switzerland. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/95920 http://hdl.handle.net/10316/95920 https://doi.org/10.3390/ijerph18147282 |
url |
http://hdl.handle.net/10316/95920 https://doi.org/10.3390/ijerph18147282 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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1660-4601 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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