A qualitative exploration of the collaborative working between palliative care and geriatric medicine: Barriers and facilitators from a European perspective

Giovanni Gambassi, Gwenda Albers, K. Froggatt, L. Van Den Block, P. Vanden Berghe, S. Pautex, N. Van Den Noortgate

Risultato della ricerca: Contributo in rivistaArticolo in rivista

17 Citazioni (Scopus)

Abstract

Background: With an increasing number of people dying in old age, collaboration between palliative care and geriatric medicine is increasingly being advocated in order to promote better health and health care for the increasing number of older people. The aim of this study is to identify barriers and facilitators and good practice examples of collaboration and integration between palliative care and geriatric medicine from a European perspective. Methods: Four semi-structured group interviews were undertaken with 32 participants from 18 countries worldwide. Participants were both clinicians (geriatricians, GPS, palliative care specialists) and academic researchers. The interviews were transcribed and independent analyses performed by two researchers who then reached consensus. Results: Limited knowledge and understanding of what the other discipline offers, a lack of common practice and a lack of communication between disciplines and settings were considered as barriers for collaboration between palliative care and geriatric medicine. Multidisciplinary team working, integration, strong leadership and recognition of both disciplines as specialties were considered as facilitators of collaborative working. Whilst there are instances of close clinical working between disciplines, examples of strategic collaboration in education and policy were more limited. Conclusions: Improving knowledge about its principles and acquainting basic palliative care skills appears mandatory for geriatricians and other health care professionals. In addition, establishing more academic chairs is seen as a priority in order to develop more education and development at the intersection of palliative care and geriatric medicine.
Lingua originaleEnglish
pagine (da-a)47-57
Numero di pagine11
RivistaBMC Palliative Care
Volume15
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Aged
  • Aged, 80 and over
  • Attitude of Health Personnel
  • Cooperative Behavior
  • Europe
  • Female
  • Geriatrics
  • Health Services Needs and Demand
  • Health Services for the Aged
  • Humans
  • Interdisciplinary Communication
  • Male
  • Medicine (all)
  • Middle Aged
  • Palliative Care
  • Practice Guidelines as Topic
  • Qualitative Research

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