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ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 9  |  Page : 2877-2881

Integrated primary palliative care model; facilitators and challenges of primary care/family physicians providing community-based palliative care


1 Department of Palliative Care and Psycho.oncology, Tata Medical Center, Kolkata, India
2 Academy of Family Physicians of India, India, Indias

Correspondence Address:
Dr. Shrikant Atreya
Department of Palliative Care and Psycho-oncology, Tata Medical Center, 14 MAR (E-W), New Town, Rajarhat, Kolkata - 700 160, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_653_19

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Introduction: Patients with advanced cancer often suffer from complex symptoms necessitating constant supervision and management. Primary care/family physicians act as an important bridge between the patients in the community and the specialists in the hospital ensuring continuity of care. Materials and Methods: The present paper explored the facilitators and challenges in providing home-based palliative care as perceived by the primary care/family physicians (PCP/FP). Results: 62 physicians reported that they were involved in palliative management of at least one cancer patient in the previous year. A significant number of GPs (34%) lacked confidence in providing this care because of patient complexity, inadequate training and insufficient resources. Other barriers included poor communication from specialists and treating teams. Factors facilitating provision of home-based palliative care included their willingness to help palliative care patients, their inclination to train in palliative care and enthusiasm to refer to guidelines while caring for patients. Conclusion: It is explicit in the paper that resources with respect to information sharing and communication, technical support and training are essential to empower the PCP/FP in providing community-based palliative care.


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