Promoting palliative care in the community: Production of the primary palliative care toolkit by the European Association of Palliative Care Taskforce in primary palliative care

Scott A. Murray*, Adam Firth, Nils Schneider, Bart Van den Eynden, Xavier Gomez-Batiste, Trine Brogaard, Tiago Villanueva, Jurgen Abela, Steffen Eychmuller, Geoffrey Mitchell, Julia Downing, Libby Sallnow, Erik van Rijswijk, Alan Barnard, Marie Lynch, Frederic Fogen, Sebastien Moine

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: A multidisciplinary European Association of Palliative Care Taskforce was established to scope the extent of and learn what facilitates and hinders the development of palliative care in the community across Europe.

Aim: To document the barriers and facilitators for palliative care in the community and to produce a resource toolkit that palliative care specialists, primary care health professionals or policymakers, service developers, educationalists and national groups more generally could use to facilitate the development of palliative care in their own country.

Design: (1) A survey instrument was sent to general practitioners with knowledge of palliative care services in the community in a diverse sample of European countries. We also conducted an international systematic review of tools used to identify people for palliative care in the community. (2) A draft toolkit was then constructed suggesting how individual countries might best address these issues, and an online survey was then set up for general practitioners and specialists to make comments. Iterations of the toolkit were then presented at international palliative care and primary care conferences.

Results: Being unable to identify appropriate patients for palliative care in the community was a major barrier internationally. The systematic review identified tools that might be used to help address this. Various facilitators such as national strategies were identified. A primary palliative care toolkit has been produced and refined, together with associated guidance.

Conclusion: Many barriers and facilitators were identified. The primary palliative care toolkit can help community-based palliative care services to be established nationally.

Original languageEnglish
Pages (from-to)101-111
Number of pages11
JournalPalliative Medicine
Volume29
Issue number2
Early online date13 Nov 2014
DOIs
Publication statusPublished - 1 Feb 2015

Keywords

  • Palliative care
  • primary palliative care
  • primary health care
  • community health services
  • policy
  • qualitative research
  • LUNG-CANCER
  • TRAJECTORIES
  • INTERVIEWS
  • FAILURE
  • LIFE
  • END

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