Australian general practitioners' and oncology specialists' perceptions of barriers and facilitators of access to specialist palliative care services.

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dc.contributor.author Johnson, C
dc.contributor.author Paul, C
dc.contributor.author Girgis, A
dc.contributor.author Adams, J
dc.contributor.author Currow, DC
dc.date.accessioned 2012-02-10T06:09:34Z
dc.date.issued 2011-04
dc.identifier.citation Journal of palliative medicine, 2011, 14 (4), pp. 429 - 435
dc.identifier.issn 1096-6218
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/17061
dc.description.abstract PURPOSE: Doctors in Australia play an important role in facilitating access to specialist palliative care (SPC) services for people with advanced cancer. This study aimed to describe doctors' perceptions of barriers to referring patients for SPC, and to identify triggers and facilitators for referral. METHOD: Forty semistructured telephone interviews were conducted with doctors involved in the care of people with advanced cancer from a variety of settings. RESULTS: Six themes were identified: disease and treatment; psychosocial; communication and interpersonal issues; health services issues; timing; and, health professionals' skills. All doctors considered the presence and complexity of physical symptoms, stage of the disease and treatment orientation as important in decisions to refer for SPC. Less important were the psychosocial well-being and cultural characteristics of the person with cancer and their family. Factors reportedly affecting referral and access included health professionals' ability to communicate openly and honestly about disease progression, availability and location of SPC resources and doctors' expertise. Divergent views were expressed about appropriate timing for access. The predominant view that SPC is for management of physical symptoms may result in nonreferral of those who have complex problems without physical symptoms. CONCLUSIONS: Given the complex relationship between psychological and physical well-being and health-related quality of life, it is important that all factors contributing to patient well-being are identified. Routine use of objective measures of unmet and complex needs may help identify people who are likely to most benefit from SPC and optimize access, regardless of timing, stage of disease, and treatment orientation.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1089/jpm.2010.0259
dc.title Australian general practitioners' and oncology specialists' perceptions of barriers and facilitators of access to specialist palliative care services.
dc.type Journal Article
dc.parent Journal of palliative medicine
dc.journal.volume 4
dc.journal.volume 14
dc.journal.number 4 en_US
dc.publocation New Rochelle en_US
dc.identifier.startpage 429 en_US
dc.identifier.endpage 435 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1103 Clinical Sciences
dc.personcode 112076
dc.personcode 111571
dc.percentage 100 en_US
dc.classification.name Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity ISI:000289235100012 en_US
dc.description.keywords Humans
dc.description.keywords Palliative Care
dc.description.keywords Attitude of Health Personnel
dc.description.keywords Medical Oncology
dc.description.keywords Adult
dc.description.keywords Interviews as Topic
dc.description.keywords Middle Aged
dc.description.keywords General Practitioners
dc.description.keywords Decision Making
dc.description.keywords Health Services Accessibility
dc.description.keywords Australia
dc.description.keywords Female
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)


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