Systematic review of educational interventions in palliative care for primary care physicians

Palliative Medicine

Volumn 20, Issue 7, 2006, Pages 673-683

  Alvarez, Marta Pelayo ^a,c   Agra, Yolanda ^b  

^a Primary Healthcare Centre   (Spain)

^b Ministry of Health and Consumer Affairs   (Spain)

^c NONE   (Spain)

Author keywords

Education; Family; Palliative care; Physicians; Primary health care; Terminal care

Indexed keywords

FENTANYL; MORPHINE; OPIATE;

ANALGESIA; ARTICLE; BIBLIOGRAPHIC DATABASE; CAREGIVER; COCHRANE LIBRARY; DOCTOR PATIENT RELATION; EMBASE; FUNCTIONAL ASSESSMENT; HUMAN; INTERPERSONAL COMMUNICATION; LEARNING; MEDICAL EDUCATION; MEDICAL LITERATURE; MEDICAL PRACTICE; MEDICAL SPECIALIST; MEDLINE; OUTCOMES RESEARCH; PAIN; PALLIATIVE THERAPY; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRESCRIPTION; PRIMARY MEDICAL CARE; QUALITATIVE ANALYSIS; QUALITY OF LIFE; QUESTIONNAIRE; SATISFACTION; STUDENT SATISFACTION; SYSTEMATIC REVIEW; TREATMENT PLANNING;

DELIVERY OF HEALTH CARE; EDUCATION, MEDICAL, CONTINUING; FAMILY PRACTICE; HUMANS; PALLIATIVE CARE; SPAIN;

EID: 33751220504     PISSN: 02692163     EISSN: None     Source Type: Journal    
DOI: 10.1177/0269216306071794     Document Type: Article

References (72)

1. World Health Organization. Palliative care: the solid facts. WHO, 2004.
2. Recommendation Rec (2003) 24 of the Committee of Ministers to member states on the organization of palliative care. Adopted by the Committee of Ministers on 12 November 2003, at the 860th meeting of the Ministers' Deputies, Council of Europe, 2003.
3. Gore JM, Brophy CJ, Greenstone MA. How well do we care for patients with end stage chronic obstructive pulmonary disease (COPD)? A comparison of palliative care and quality of life in COPD and lung cancer. Thorax 2000; 55: 1000-1006.
4. Hanratty B, Hibbert D, Mair F, et al. Doctors' perceptions of palliative care for heart failure: focus group study. BMJ 2002; 325: 581-85.
5. Murray SA, Kendall M, Boyd K, Sheikh A. Illness trajectories and palliative care. BMJ 2005; 330: 1007-11.
6. Barclay S, Wyatt P, Shore S, Finlay LL, Grande G, Todd Ch. Caring for the dying: how well prepared are the general practitioners? A questionnaire study in Wales. Palliat Med 2003; 17: 27-39.
7. Salinas AM, Asensio AF, Armas J, Benítez del Rosario MA. Palliative care in primary care: professionals' opinion. Aten Primaria 1999; 23: 187-91.
8. Brown JB, Sangster M, Swift J. Factors influencing palliative care. Qualitative study of family physician practices. Can Fam Physician 1998; 44: 1028-34.
9. Bruera E, Neumann CM, Gagnon B, et al. Edmonton Regional Palliative Care Programme: impact on patterns of terminal cancer care. CMAJ 1999; 161: 290-93.
10. Jones W, Avant R, Davis N, Saultz J, Lyons P. Task Force Report 3. Report of the Task Force on continuous personal, professional, and practice development in family medicine. Ann Fam Med 2004; 2: 565-74.
11. Lloyd-Williams M, Carter YH. General practice vocational training in the UK: what teaching is given in palliative care? Palliat Med 2003; 17: 616-20.
12. Mitchell GK. How well do general practitioners deliver palliative care? A systematic review. Palliat Med 2002; 16: 457-64.
13. Davis DA, Thomson MA, Oxman AD, Haynes B. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA 1995; 274: 700-705.
14. Lanier D, Roland M, Burstin H, Knottnerus J. Doctor performance and public accountability. Lancet 2003; 362: 1404-408.
15. Davis D, Thomson MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education. Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999; 282: 867-74.
16. Grimshaw JM, Shirran L, Thomas R, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care 2001; 39: 112-45.
17. Vanselow NA, Donaldson MS, Yordy KD. From the Institute of Medicine. A new definition of primary care. JAMA 1995; 273: 192.
18. Moher D, Schulz F, Altman G; for the Consort Group. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. Ann Intern Med 2001; 134: 657-62.
19. Allard P, Maunsell E, Labbe J, Dorval M. Educational interventions to improve cancer pain control: a systematic review. J Palliat Med 2001; 4: 191-203.
20. Weissman DE, Dahl JL, Beasley JW. The Cancer Pain Role Model Programme of the Wisconsin Cancer Pain Initiative. J Pain Symptom Manage 1993; 8: 29-35.
21. Weissman DE, Dahl JL. Update on the cancer pain role model education programme. J Pain Symptom Manage 1995; 10: 292-97.
22. Janjan NA, Martin CG, Payne R, Dahl JL, Weissman DE, Hill CS. Teaching cancer pain management: durability of educational effects of a role model programme. Cancer 1996; 77: 996-1001.
23. Hines C, Bingham J, Muirden N, Beavis M. Cancer pain management. Improving knowledge and patient care. Aust Fam Phys 1998; 27: S66-S69.
24. Elliot TE, Murray DM, Oken MM, et al. Improving cancer pain management in communities: main results from a randomized controlled trial. J Pain Symptom Manage 1997; 13: 191-203.
25. Clark D, Ingleton C, Hughes P, Yap T, Noble B. Evaluation of a scheme to enhance palliative cancer care in rural Wales. Support Care Cancer 2004; 12: 683-91.
26. Ingleton C, Morgan J, Hughes P, Noble B, Evans A, Clark D. Carer satisfaction with end-of-life care in Powys, Wales: a cross-sectional survey. Health Soc Care Commun 2004; 12: 43-52.
27. Ingleton C, Hughes P, Noble B, Gray M, Clark D. An evaluation of a Macmillan GP clinical facilitator project: the post-holders' perspective. Primary Health Care Res Dev 2003; 4: 177-86.
28. Noble B, Hughes P, Ingleton C, Berg J, Clark D. Impact of the Powys Macmillan GP clinical facilitator project: views of health-care professionals. Int J Palliat Nurs 2003; 9: 528-33.
29. Schuit W, Bender W, Meijler J, Otter R, Meyboom-Dejong B, Sleijfer T. Learning effects of a workshop in palliative cancer care for general practitioners. J Cancer Educ 1999; 14: 18-22.
30. Schuit W, Otter R, Stewart R, Sleijfer T, Meijler J, Meyboom-Dejong B. The effects of a postgraduate course on opioid-prescribing patterns of general practitioners. J Cancer Educ 2000; 15: 214-17.
31. Boakes J, Gardner D, Yuen K, Doyle S. General practitioner training in palliative care: an experiential approach. J Palliat Care 2000; 16: 11-19.
32. Hall P, Hupe D, Scott J. Palliative care education for community-based family physicians: the development of a programme, the evaluation, and its consequences. J Palliat Care 1998; 14: 69-74.
33. Hinkka H, Kosunen E, Metsanoja R, Lammi U, Kellokumpu-Lehtinen P. General practitioners' attitudes and ethical decisions in end-of-life care after a year of interactive Internet-based training. J Cancer Educ 2002; 17: 12-18.
34. Keogh K, Jeffrey D, Flanagan S. The Palliative Care Education Group for Gloucestershire (PEGG): an integrated model of multidisciplinary education in palliative care. Eur J Cancer Care 1999; 8: 44-47.
35. Kristjanson L, Dusgeon D, Nelson F, Henteleff P, Balneaves L. Evaluation of an interdisciplinary training programme in palliative care: addressing the needs of rural and northern communities. J Palliat Care 1997; 13: 5-12.
36. Eastaugh A, Higginson I, Webb D. Palliative care communication workshops for general practitioners and district nurses. Educ Gen Pract 1998; 9: 331-36.
37. Macleod R, Nash U, Charny M. Evaluating palliative care education. Eur J Cancer Care 1994; 3: 163-68.
38. Mitchell G. Assessment of GP management of symptoms of dying patients in an Australian community hospice by chart audit. Fam Pract 1998; 15: 420-25.
39. Oxenham D, Duncan R, Fischbacher M. Cancer pain management in Lanarkshire: a community-based audit. Palliat Med 2005; 17: 708-13.
40. Nash A, Hoy A. Terminal care in the community - an evaluation of residential workshops for general practitioner/district nurse teams. Palliat Med 1993; 7: 5-17.
41. Shipman C, Addington-Hall J, Thompson M, et al. Building bridges in palliative care: evaluating a GP Facilitator programme. Palliat Med 2003; 17: 621-27.
42. Higginson I. Palliative care services in the community: what do family doctors want? J Palliat Care 1999; 15: 21-25.
43. Hanson LC, Tulsky JA, Danis M. Can clinical interventions change care at the end of life? Ann Intern Med 1997; 126: 381-88.
44. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients' care. Lancet 2003; 362: 1225-30.
45. Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Tompson MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 1998; 317: 465-68.
46. Pereira J, Bruera E, Quan H. Palliative care on the net: an online survey of health care professionals. J Palliat Care 2001; 17: 41-45.
47. Klueber KK, Bruera E. Interactive collaborative consultation model in end-of-life care. J Pain Symptom Manage 2000; 20: 202-209.
48. Thompson AR, Savidge MA, Fulper-Smith M, Strode SW. Testing a multimedia module in cancer pain management. J Cancer Educ 1999; 14: 161-63.
49. Peterson MW, Galvin JR, Dayton Ch, D'Alessandro MP. Delivering pulmonary continuing medical education over the Internet. Chest 1999; 115: 1429-36.
50. Grande GE, Barclay SIG, Todd CJ. Difficulty of symptom control and general practitioners' knowledge of patients' symptoms. Palliat Med 1997; 11: 399-406.
51. Phillips LS, Branch WT, Cook CB, et al. Clinical inertia. Ann Intern Med 2001; 135: 825-34.
52. Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ 2005; 330: 781-84.
53. O'Brien MA, Freemantle N, Oxman AD, Wolf F, Davis DA, Herrin J. Continuing education meetings and workshops: effects on professional practice and health care outcomes. The Cochrane Library, Issue 3. John Wiley & Sons, Ltd., 2004.
54. Barclay S, Todd Ch, Grande G, Lipscombe J. Controlling cancer pain in primary care: the prescribing habits and knowledge base of general practitioners. J Pain Symptom Manage 2002; 23: 383-92.
55. Griffin JP, Nelson JE, Koch KA, et al. End-of-life care in patients with lung cancer. Chest 2003; 123: 312S-31S.
56. Kirk P, Kirk I, Kristjanson J. What do patients receiving palliative care for cancer and their families want to be told? A Canadian and Australian qualitative study. BMJ 2004; 328: 1343-49.
57. Curtis JR, Patrick DL, Caldwell ES, Collier AC. Why don't patients and physicians talk about end-of-life care? Barriers to communication for patients with Acquired Immunodeficiency Syndrome and their primary care clinicians. Arch Intern Med 2000; 160: 1690-96.
58. Maguire P, Pitceathly C. Key communication skills and how to acquire them. BMJ 2002; 325: 697-700.
59. Goldschmidt D, Groenvold M, Johnsen AT, Strömgren AS, Krasnik A, Schmidt L. Cooperating with a palliative home-care team: expectations and evaluations of GPs and district nurses. Palliat Med 2005; 19: 241-50.
60. Shipman C, Addington-Hall J, Barclay A, et al. How and why do GPs use specialist palliative care services? Palliat Med 2002; 16: 241-46.
61. Breitbart W, Rosenfeld B, Passik SD. The network project: a multidisciplinary cancer education and training programme in pain management, rehabilitation, and psychosocial issues. J Pain Symptom Manage 1998; 15: 18-26.
62. Thulesius H, Petersson Ch, Petersson K, Häkansson A. Learner-centred education in end-of-life care improved well being in home care staff: a prospective controlled study. Palliat Med 2002; 16: 347-54.
63. Koffman J. Multiprofessional palliative care education: past challenges, future issues. J Palliat Care 2001; 17: 86-92.
64. Shipman C, Addington-Hall J, Barclay S, et al. Educational opportunities in palliative care: what do general practitioners want? Palliat Med 2001; 15: 191-96.
65. Esteva MC, Llobera JC, Miralles JX, Bauza MA. Management of terminal cancer patients: attitudes and training needs of primary health care doctors and nurses. Support Care Cancer 2000; 8: 464-71.
66. Evans R, Stone D, Elwyn G. Organizing palliative care for rural populations: a systematic review of the evidence. Fam Pract 2003; 20: 304-10.
67. Groot MM, Vernooij-Dassen MJ, Crul BJ, Grol R. General practitioners (GPs) and palliative care: perceived tasks and barriers in daily practice. Palliat Med 2005; 19: 111-18.
68. Sloan PA, Donnelly MB, Vanderveer B, Delomas M, Schwartz RW, Sloan DA. Cancer pain education among family physicians. J Pain Symptom Manage 1997; 14: 74-81.
69. Pérol D, Boissel JP, Broussolle Ch, Cêtre Jch, Stagnara J, Chauvin F. A simple tool to evoke physicians' real training needs. Acad Med 2002; 77: 407-10.
70. Brown CA, Belfield CR, Field SJ. Cost effectiveness of continuing professional development in health care: a critical review of the evidence. BMJ 2002; 324: 652-55.
71. Pereira J, Peden J, Campbell K. Instructional technology in medical education: lessons learnt. J Teleme Telecare 2000; 6S2: 56-58.
72. Mazmanian PE, Davis DA. Continuing medical education and the physician as a learner. Guide to the evidence. JAMA 2002; 288: 1057-60.