General practitioners' attitudes to palliative care: A Western Australian rural perspective

J Palliat Med. 2006 Dec;9(6):1271-81. doi: 10.1089/jpm.2006.9.1271.

Abstract

Background: People with a terminal illness and their families who live in rural or remote areas of Australia face difficulties in accessing palliative care services as a result of physical isolation. This leads to rural general practitioners (GPs) carrying the burden of care, which is often exacerbated by a lack of support staff.

Objective: This research addressed the following questions: What are GPs' attitudes to palliative care in a rural center of Western Australia? What factors contribute to GPs' attitudes to palliative care in a rural center of Western Australia? What are the perceived barriers to the provision of palliative care in a rural center of Western Australia?

Design: A qualitative in-depth research design was used for this study due to the exploratory nature of the research. A model of attitudes that considers an attitude as a summary evaluation of an issue based on: cognitive information, (thoughts and beliefs), affective or emotional information, and information concerning behavior, was used.

Participants: Participants were 10 registered GPs located within the Greater Bunbury Division of General Practice in Western Australia.

Results: Six themes emerged from the research: maintaining patients' quality of life, providing continuity of care, experiencing emotional issues, collaborating with a multidisciplinary team, acknowledging the need for education and training, and dealing with the wider context.

Conclusion: Education and training for rural GPs needs to be relevant to the local context and needs to focus on emotions and beliefs.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Continuity of Patient Care
  • Female
  • Hospitals, Rural*
  • Humans
  • Interdisciplinary Communication
  • Interviews as Topic
  • Male
  • Middle Aged
  • Palliative Care*
  • Physicians, Family / psychology*
  • Qualitative Research
  • Quality of Life
  • Social Class
  • Terminal Care
  • Western Australia