French general practitioners vary in their attitudes toward treating terminally ill patients.

Abstract:

:The purpose of this study is to analyze French general practitioners' attitudes toward prescribing opiate painkillers for dying patients and compare them with their attitudes toward making frequent home visits. One hundred and fifteen general practitioners indicated the acceptability of prescribing opiates in 48 scenarios of terminal cancer patients with different levels of age, gender, stated pain, request for painkillers, and signs of depression; 103 of them also indicated the acceptability of making frequent home visits in the same 48 scenarios. The responses were analyzed using analysis of variance and cluster analysis. For prescribing opiates, four clusters of physicians were found: 13 prescribed primarily in response to stated pain; 43 to request for painkillers; 43 to the combination of pain, request, and depression; and 16 in virtually all cases. Using the same clusters to analyze visiting gave results that were very consistent with those for prescribing. We conclude that French general practitioners have differing and consistent styles in prescribing painkillers and making home visits to dying cancer patients.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

Mas C,Albaret MC,Sorum PC,Mullet E

doi

10.1177/0269216309107012

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

60-7

issue

1

eissn

0269-2163

issn

1477-030X

pii

0269216309107012

journal_volume

24

pub_type

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