Abstract:
OBJECTIVE:Palliative care at home is a new service provision in Romania. This study evaluated retrospectively, after the patient's death, the provision of care at home from the perspective of professionals directly involved in the care process. The evaluation included assessment of the role of the professional, the functioning of the team, communication with patients and family, and overall judgment. The study is part of the development of palliative care at home, by multidisciplinary teams in Romania. METHODS:Over a period of eighteen months five teams with a total of 19 professionals, provided palliative care for 103 patients with cancer in its terminal stage. During this period 80 patients died. A questionnaire was sent to the professionals involved. All responded resulting in 181 evaluations. These evaluations are the basis for analysis. The data were analyzed using SPSS. RESULTS:Of the 181 cases evaluated, 63 indicated an emotional burden on the professionals. GP's and nurses reported such a burden more frequently. A lack of knowledge of how to treat a special case was reported 56 times. This was especially so when a case was judged to be different from other cases, which often included (unexpected) complications. GP's reported cases with complications more frequently than oncologists and nurses. The multidisciplinary teams functioned very satisfactorily in treating patients. Although communication with patients/families was generally judged positively, communication with patients was sometimes viewed as problematic. The overall verdict was that the care delivered to the 80 patients was positive. Most professionals reported that they would deal with the cases in the same way again. CONCLUSIONS:The patients who received palliative care and died, were treated well according to the professionals who evaluated the care process. Improvement of palliative care services at home may be achieved by provision of additional information on (acute) complications. Since palliative care at home is a new phenomenon in Romania, professionals working closely with the patient have to learn to cope with the emotional burden certain cases may include.
journal_name
Eur J Gen Practjournal_title
The European journal of general practiceauthors
Dumitrescu L,Van den Heuvel WJdoi
10.3109/13814780509178248subject
Has Abstractpub_date
2005-09-01 00:00:00pages
101-6issue
3-4eissn
1381-4788issn
1751-1402journal_volume
11pub_type
杂志文章,多中心研究相关文献
文献大全abstract::Staff meetings are an integral part of the family medicine process but little has been written in the family medicine literature about their utility. In addition to filling administrative or management functions, the staff meeting can be a creative process for growth of staff members and the road to innovative solutio...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814780409094227
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:To determine what Spanish primary healthcare physicians consider the rates of pneumococcal resistance to be, the type of antimicrobial treatment they would prescribe on suspicion of high resistance and ascertain in which cases of acute bronchitis these physicians would initiate antibiotic treatment. METHODS...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814780409044541
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the quality of management of oral anticoagulation among patients on oral anticoagulation for atrial fibrillation, and to verify the relation between patient performance and the risk of an event due to therapy. METHODS:In a retrospective cross-sectional study involving 66 general practices, intern...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780600780783
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:To gain insight into limitations in function over time of general-practice patients who presented and were diagnosed with "tiredness". METHODS:In a routine family-practice electronic register based on use of the International Classification of Primary Care (ICPC), 684 patients were identified who presented (...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780701379030
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To explore factors influencing the utilization of primary and secondary healthcare in Greece. METHODS:A national, geographically stratified sample was randomly selected. From November 2001 to March 2002, 5000 questionnaires were mailed, 4427 were actually received, and 1819 were completed and returned (respo...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780701541340
更新日期:2007-01-01 00:00:00
abstract::The pulse oximeter is a vital piece of equipment in secondary care for the non-invasive monitoring of oxygen saturation. With the increasing affordability of the oximeter and recognition of its clinical applications, there is an increasing interest in its role in primary care. The decision was made that a systematic r...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780701574762
更新日期:2007-01-01 00:00:00
abstract::Chronic obstructive pulmonary disease (COPD) patients have poor knowledge about the disease. Until now, it has not been possible to check the information needs of these patients. The Lung Information Needs Questionnaire (LINQ), however, could fill this particular need. The aims of this study were to identify patient p...
journal_title:The European journal of general practice
pub_type: 信件
doi:10.1080/13814780802342630
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To investigate gender differences in health problems in general practice. METHODS:We performed a study using data from the Continuous Morbidity Registration (CMR) Nijmegen. To study the distribution by gender we analysed overall morbidity per 1000 patients years over a period of 10 years. Secondly we calcula...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780802436127
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Antidepressant prescribing has dramatically increased in Scotland, and the cause is unknown. OBJECTIVE:To investigate if the increase in antidepressant prescribing coincided with a reduction in prescribing of anxiolytics and hypnotics; to investigate this relationship at practice level; and to explore wheth...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.1080/13814780802632683
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of triamcinolone cream in the treatment of non-specific pruritus vulvae. METHODS:A total of 50 patients, aged between 8 and 55 years, with non-specific pruritus vulvae were consecutively included in a double-blind randomized controlled trial by their general practitioner in 25 ...
journal_title:The European journal of general practice
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13814780802705976
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Low back pain (LBP) is a frequent diagnosis for sickness absence. The process of sick-listing is complex, and the doctor must integrate information from several levels in the decision. OBJECTIVE:The aim of this paper is to describe the main determinants of sickness absence for LBP. METHODS:We conducted a n...
journal_title:The European journal of general practice
pub_type: 杂志文章,评审
doi:10.1080/13814780903051866
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the long-term effectiveness of lifestyle counselling for low-moderate cardiovascular (CV) risk subjects in primary care. METHODS: DESIGN:Prospective comparison of baseline vs post-intervention, and comparison of enrolled patients vs control subjects extracted from a large primary care database. ...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814780903362560
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Despite many quality improvement trials, diabetes care often remains suboptimal. Few studies in a primary care setting have investigated the 'real life' association between organizational differences and quality of diabetes care. METHODS:Observational study among ten health care centres with a total of 45 g...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814780903390814
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To summarize the knowledge on the use of comprehensive family history taking for common, multifactorial diseases in primary health care. DESIGN AND DATA SOURCES:Systematic review of MEDLINE (1966-2008), EMBASE (1986-2008) and Cochrane Library. METHODS:Search terms reflected 'primary care', 'family history' ...
journal_title:The European journal of general practice
pub_type: 杂志文章,评审
doi:10.3109/13814780903447572
更新日期:2009-12-01 00:00:00
abstract::The European General Practice Research Network organized an international workshop on research using electronic patient records in Bertinoro, Italy, in May 2009. The authors were keynote speakers at the workshop, tasked with summarizing the theme research presentations on each of the two days of the meeting. The confe...
journal_title:The European journal of general practice
pub_type:
doi:10.3109/13814788.2010.501374
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Different expectations and demands of non-western immigrants may prompt physicians to deviate from their routine clinical management strategies resulting in more diagnostic tests and higher prescription rates. Antibiotic prescription is of specific importance, since overuse of antibiotics is a major public h...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2010.505266
更新日期:2010-09-01 00:00:00
abstract:UNLABELLED:The European General Practice Research Network organized an international research conference on 'Children in General Practice' in Plovdiv, Bulgaria, in May 2010. Two of the authors were keynote speakers at the workshop, tasked with summarizing the theme research presentations on each of the two days of the ...
journal_title:The European journal of general practice
pub_type:
doi:10.3109/13814788.2010.546833
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Assessing prescription patterns of asthma medication for children is helpful to optimize prescribing by general practitioners (GPs). The aim was to explore prescription patterns in children with physician-diagnosed asthma and its determinants in general practice. METHODS:We used the Second Dutch National Su...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2010.544299
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Several systematic reviews of acupuncture as a treatment of insomnia have recently emerged. Their results are far from uniform. AIM:To summarize and critically evaluate these reviews with a view of defining the reasons for their discrepant conclusions and providing an overall verdict about the therapeutic v...
journal_title:The European journal of general practice
pub_type: 杂志文章,评审
doi:10.3109/13814788.2011.568475
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Increasing prevalence of obesity worldwide requires providing support for many patients. GPs in particular, as long-term supervisors of patients, are asked to deliver care to those affected. OBJECTIVES:This qualitative study aimed at identifying GPs' perspectives on counselling overweight and obese patients...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2011.627424
更新日期:2012-03-01 00:00:00
abstract::On 7-9 April 2011 the 6th EQuiP Invitational Conference took place in Copenhagen. Key note lectures were delivered by Professor Frede Olesen (Denmark), Professor Andreas Christian Soennichsen (Austria), Professor Martin Roland (UK) and Professor Richard Roberts (US), and a key note panel discussion was held on the pro...
journal_title:The European journal of general practice
pub_type:
doi:10.3109/13814788.2011.602669
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Sickness certification is a common task undertaken by General Practitioners (GPs) in most developed countries. Research suggests that they find this task complex and difficult. Primary health care structures and sickness certification practices differ across Europe and little research explores GPs certifying...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2012.672967
更新日期:2012-06-01 00:00:00
abstract::Major advancements in the treatment of HIV infection mean near normal life expectancy of persons diagnosed at an early stage of infection. Nevertheless, a significant proportion of HIV infected persons remain undiagnosed and are diagnosed at a late stage of infection, putting them at higher risk for preventable HIV-re...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2012.685069
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Immigration is a relevant public health issue and there is a great deal of controversy surrounding its impact on health services utilization. OBJECTIVE:To determine differences between immigrants and non-immigrants in the utilization of primary health care services in Catalonia, Spain. METHODS:Population b...
journal_title:The European journal of general practice
pub_type: 杂志文章,多中心研究
doi:10.3109/13814788.2012.656085
更新日期:2012-06-01 00:00:00
abstract::In 2009, the Royal College of General Practitioners (RCGP) in the UK created the First5® initiative to support new GPs through the first years of independent practice. For new GPs, finishing training and taking the first steps into a career in family medicine is an exciting but also challenging time. The RCGP and fell...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2012.697148
更新日期:2012-12-01 00:00:00
abstract:PURPOSE OF REVIEW:This review summarizes the past year's literature regarding the regulation of gastric exocrine and endocrine secretion, both basic science and clinical. RECENT FINDINGS:Gastric acid secretion facilitates the digestion of protein as well as the absorption of iron, calcium, vitamin B12, and certain med...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2012.704360
更新日期:2012-09-01 00:00:00
abstract::Quality assessment and assurance in the intensive care unit require systematic monitoring and evaluation of patient care and its outcome. For analysis of these activities, data must be organized to reflect changes in such factors as patient types, ages, and lengths of stay. A model was developed to group data from the...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2013.780018
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND & AIMS:We aimed to compare the effects of protein to carbohydrate ratio and physical form in dairy on glucose homeostasis and food intake. METHODS:In a crossover design, 20 healthy males consumed 250 g of one of five treatments, plain yogurt, plain yogurt with honey, strawberry yogurt, skim milk or orange j...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2013.779662
更新日期:2013-12-01 00:00:00
abstract::Kisspeptins are small peptides encoded by the Kiss1 gene that have been the focus of intense neuroendocrine research during the last decade. Kisspeptin is now considered to have important roles in the regulation of puberty onset and adult oestrogen-dependent feedback mechanisms on gonadotrophin-releasing hormone secre...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2013.779664
更新日期:2013-12-01 00:00:00
abstract::Methane oxidation rates in soil are liable to be reduced by plant stress responses to climate change. Stressed plants exude ethylene into soil, which inhibits methane oxidation when present in the soil atmosphere. Here we discuss opportunities to use 1-aminocyclopropane-1-carboxylate deaminase to manage methane oxidat...
journal_title:The European journal of general practice
pub_type: 杂志文章
doi:10.3109/13814788.2013.839652
更新日期:2014-09-01 00:00:00