Gassmann R, Schnabel E
Institut für Gerontologie an der Universität Dortmund.
Z Gerontol Geriatr. 1997 Sep-Oct;30(5):375-80.
The changing paradigm in the health care system to focus stronger on community care also effects the care of the dying. In consequence, general practitioners are confronted with changing tasks and challenges. In an exploratory oriented study 80 general practitioners, who were recruited in one rural and one urban area were interviewed with regard to different variables of the care of the dying such as self concept, different aspects of burden, pain management, education and vocational training as well as cooperation with third parties. Main results show that age of the general practitioners and amount of burden experienced are interrelated. Further, the subject "death and dying" is hardly considered in education and training and the cooperation between the general practitioner and other health care professionals has to be extended and improved.
医疗保健系统日益注重社区护理的转变也影响着临终关怀。因此，全科医生面临着不断变化的任务和挑战。在一项探索性研究中，对在一个农村地区和一个城市地区招募的80名全科医生就临终关怀的不同变量进行了访谈，这些变量包括自我概念、负担的不同方面、疼痛管理、教育和职业培训以及与第三方的合作。主要结果表明，全科医生的年龄与所经历的负担量之间存在关联。此外，教育培训中几乎不涉及“死亡与临终”主题，全科医生与其他医疗保健专业人员之间的合作需要扩展和改进。
