Table 4

Facilitators of GP engagement with specialist secondary services in integration of palliative care

AuthorOutcome measuresLength of follow-upResults
Qualitative
Norman et al 32 No follow-up—one-off interviewsFamily physicians are valued in the provision of integrated care if they are accessible and provide emotional and family support and for referral, triage and general care.
Street and Blackford29 No follow-upStrategies that worked included checking if hospital contacted GP, check after-hours arrangements of GP, determine client needs and role that palliative care team will play in meeting these, joint decision making, clarification of roles with clients, determine GP/hospital first contact, regular communication.
Surveys
Brogaard et al 31 Actual key worker
Ideal key worker
Patients, relatives, GPs and CNs most often saw themselves as the key worker.
When asked about the ideal key worker, most patients (29%, 95% CI 18% to 42%) and relatives (32%, 95% CI 22% to 45%) pointed to the GP. There was poor agreement between patients and relatives; patients and GPs and patients and CNs regarding who is the key worker.
Goldschmidt et al 25 1 month after start of home careBenefits included improvement in security for patient and relative, pain control, input from specialist in palliative care and improvements in general symptomatology and nursing care.
Training benefits were symptom control, patient-centred care.
Rowlands et al 30 No follow-upGPs would like to receive relevant information regarding their patient from the most relevant professional for that information.
GPs would like a point of contact so they can initiate contact.
GPs would like to receive information quickly (between 1 and 3 days) regarding changes to condition, outpatient consults, admission, discharge and treatment milestones.
GPS would like information electronically by encrypted email (88%).
  • CN, community nurses; GP, general practitioner.