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  1. Jason Boland1,2
  1. 1Hull York Medical School, University Of Hull, Hull, UK
  2. 2Care Plus Group and St Andrew's Hospice, Grimsby, UK

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How could hospitalisations at the end of life have been avoided? A qualitative retrospective study of the perspectives of general practitioners, nurses and family carers

▸ De Korte-Verhoef MC, Pasman HR, Schweitzer BP, et al. PLoS ONE 2015;10:e0118971.

This interview-based study explored how hospitalisation at the end of life can be reduced. Twenty-six general practitioners (GPs), 15 nurses and 18 family carers who were involved with 20 hospitalised and 10 non-hospitalised patients, were interviewed. The five key themes to help reduce hospitalisation at the end of life were: (1) marking the approach of death and shifting the mindset, which includes diagnosing dying and communicating this; (2) being able to provide acute treatment and care at home, 24 h a day; (3) anticipatory discussions and interventions to deal with expected severe problems as people approached the end of life, including preferred priorities for care and place of death; (4) guiding and monitoring the patient and family in …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.