General practitioners' perceptions on the feasibility and acceptability of implementing a risk prediction checklist to support their end-of-life discussions in routine care: a qualitative study.

Lewis, ET; Mahimbo, A; Linhart, C; Williamson, M; Morgan, M; Hammill, K; Hall, J; Cardona, M

General practitioners' perceptions on the feasibility and acceptability of implementing a risk prediction checklist to support their end-of-life discussions in routine care: a qualitative study.

Lewis, ET Mahimbo, A

Linhart, C Williamson, M Morgan, M Hammill, K Hall, J Cardona, M

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Publisher:: OXFORD UNIV PRESS
Publication Type:: Journal Article
Citation:: Family practice, 2020, 37, (5), pp. 703-710
Issue Date:: 2020-10

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Field	Value	Language
dc.contributor.author	Lewis, ET
dc.contributor.author	Mahimbo, A https://orcid.org/0000-0003-2058-6881
dc.contributor.author	Linhart, C
dc.contributor.author	Williamson, M
dc.contributor.author	Morgan, M
dc.contributor.author	Hammill, K
dc.contributor.author	Hall, J
dc.contributor.author	Cardona, M
dc.date.accessioned	2021-02-25T00:09:22Z
dc.date.available	2021-02-25T00:09:22Z
dc.date.issued	2020-10
dc.identifier.citation	Family practice, 2020, 37, (5), pp. 703-710
dc.identifier.issn	0263-2136
dc.identifier.issn	1460-2229
dc.identifier.uri	http://hdl.handle.net/10453/146430
dc.description.abstract	BACKGROUND:General practitioners' (GPs) play a central role in facilitating end-of-life discussions with older patients nearing the end-of-life. However, prognostic uncertainty of time to death is one important barrier to initiation of these discussions. OBJECTIVE:To explore GPs' perceptions of the feasibility and acceptability of a risk prediction checklist to identify older patients in their last 12 months of life and describe perceived barriers and facilitators for implementing end-of-life planning. METHODS:Qualitative, semi-structured interviews were conducted with 15 GPs practising in metropolitan locations in New South Wales and Queensland between May and June 2019. Data were analysed thematically. RESULTS:Eight themes emerged: accessibility and implementation of the checklist, uncertainty around checklist's accuracy and usefulness, time of the checklist, checklist as a potential prompt for end-of-life conversations, end-of-life conversations not an easy topic, end-of-life conversation requires time and effort, uncertainty in identifying end-of-life patients and limited community literacy on end-of-life. Most participants welcomed a risk prediction checklist in routine practice if assured of its accuracy in identifying which patients were nearing end-of-life. CONCLUSIONS:Most participating GPs saw the value in risk assessment and end-of-life planning. Many emphasized the need for appropriate support, tools and funding for prognostic screening and end-of-life planning for this to become routine in general practice. Well validated risk prediction tools are needed to increase clinician confidence in identifying risk of death to support end-of-life care planning.
dc.format	Print
dc.language	eng
dc.publisher	OXFORD UNIV PRESS
dc.relation.ispartof	Family practice
dc.relation.isbasedon	10.1093/fampra/cmaa036
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.title	General practitioners' perceptions on the feasibility and acceptability of implementing a risk prediction checklist to support their end-of-life discussions in routine care: a qualitative study.
dc.type	Journal Article
utslib.citation.volume	37
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
dc.date.updated	2021-02-25T00:09:21Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	37
utslib.citation.issue	5

Abstract:

BACKGROUND:General practitioners' (GPs) play a central role in facilitating end-of-life discussions with older patients nearing the end-of-life. However, prognostic uncertainty of time to death is one important barrier to initiation of these discussions. OBJECTIVE:To explore GPs' perceptions of the feasibility and acceptability of a risk prediction checklist to identify older patients in their last 12 months of life and describe perceived barriers and facilitators for implementing end-of-life planning. METHODS:Qualitative, semi-structured interviews were conducted with 15 GPs practising in metropolitan locations in New South Wales and Queensland between May and June 2019. Data were analysed thematically. RESULTS:Eight themes emerged: accessibility and implementation of the checklist, uncertainty around checklist's accuracy and usefulness, time of the checklist, checklist as a potential prompt for end-of-life conversations, end-of-life conversations not an easy topic, end-of-life conversation requires time and effort, uncertainty in identifying end-of-life patients and limited community literacy on end-of-life. Most participants welcomed a risk prediction checklist in routine practice if assured of its accuracy in identifying which patients were nearing end-of-life. CONCLUSIONS:Most participating GPs saw the value in risk assessment and end-of-life planning. Many emphasized the need for appropriate support, tools and funding for prognostic screening and end-of-life planning for this to become routine in general practice. Well validated risk prediction tools are needed to increase clinician confidence in identifying risk of death to support end-of-life care planning.

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http://hdl.handle.net/10453/146430