The challenges of uncertainty and interprofessional collaboration in palliative care for non-cancer patients in the community: a systematic review of views from patients, carers and health-care professionals.
Bottom Line: Primary care has the potential to play significant roles in providing effective palliative care for non-cancer patients.Effective interprofessional work to deal with uncertainty and maintain coordinated care is needed for better palliative care provision to non-cancer patients in the community.Research into and development of a best model for effective interdisciplinary work are needed.
Affiliation: Cicely Saunders Institute, King's College London, London, UK email@example.com.Show MeSH
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Mentions: First, patients and carers highly value PCPs’ compassionate care, appropriate knowledge and skills, quick responses to urgent needs and maintenance of the coordination and continuity of care. Second, the unclear boundaries of the roles and responsibilities of each professional are recognised by HCPs themselves, as well as by patients and carers. HCPs also report their reciprocal expectations and concerns, which sometimes conflict with each other (Figure 2). While many patients, carers and other HCPs regard GPs as having a central role, GPs are juggling competing priorities with a limited amount of time, expecting nurses to take more active roles. In addition, uncertainty caused by unpredictable illness trajectory, lack of available resources and PCPs’ lack of expertise are listed as additional barriers to palliative care for non-cancer patients.
Affiliation: Cicely Saunders Institute, King's College London, London, UK firstname.lastname@example.org.