Cardoso Carlos Seiça, Prazeres Filipe, Xavier Beatriz, Gomes Bárbara
Faculty of Medicine, University of Coimbra, 3000-370 Coimbra, Portugal.
CINTESIS-Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Int J Environ Res Public Health. 2021 Jul 7;18(14):7282. doi: 10.3390/ijerph18147282.
Aggravated by the COVID-19 pandemic, the provision of palliative care for patients with palliative care needs emerges as a necessity more than ever. Most are managed in primary care by their family physicians (FP). This study aimed to understand the perspectives of specialist and trainee FPs about their role in palliative care.
we conducted a double focus-group study consisting of two separate online focus-groups, one with FP specialists ( = 9) and one with FP trainees ( = 10).
FPs already gather two fundamental skills for the provision of palliative care: the capacity to identify patients' needs beyond physical symptoms and the recognition that the patient belongs to a familiar, psychosocial, and even spiritual environment. They perceive their role in palliative care to be four-fold: early identification of patients with palliative care needs, initial treatment, symptom management, and patient advocacy. Participants recognized the need for palliative care training and provided suggestions for training programs.
FPs share a holistic approach and identify multiple roles they can play in palliative care, from screening to care and advocacy. Organizational barriers must be addressed. Short training programs that combine theory, practice, and experiential learning may further the potential for FPs to contribute to palliative care.
受新冠疫情影响，为有姑息治疗需求的患者提供姑息治疗比以往任何时候都更加必要。大多数患者由其家庭医生在初级保健机构进行管理。本研究旨在了解专科家庭医生和实习家庭医生对他们在姑息治疗中作用的看法。
我们进行了一项双焦点小组研究，包括两个独立的在线焦点小组，一个由家庭医生专科医生组成（n = 9），另一个由家庭医生实习生组成（n = 10）。
家庭医生已经具备提供姑息治疗的两项基本技能：识别患者除身体症状之外需求的能力，以及认识到患者属于一个熟悉的社会心理甚至精神环境。他们认为自己在姑息治疗中的作用有四个方面：早期识别有姑息治疗需求的患者、初始治疗、症状管理和患者权益维护。参与者认识到需要进行姑息治疗培训，并对培训项目提出了建议。
家庭医生采用整体方法，并确定了他们在姑息治疗中可以发挥的多种作用，从筛查到护理和权益维护。必须消除组织障碍。结合理论、实践和体验式学习的短期培训项目可能会增强家庭医生为姑息治疗做出贡献的潜力。
