As such, palliative care support teams could support geriatricians in providing the best possible care for older people. Conversely, geriatricians can support palliative care specialists in complex situations. Correspondingly, we recommend action research on interdisciplinary teamwork and leadership in palliative care for geriatric patients. It would also be helpful to understand the patient and family perspective and a perspective of service users and get them involved in future research on this topic. The exploratory study design and the compositions of participants in the group interviews, of whom many were geriatricians with a particular interest for palliative care, may be seen as a limitation.
However, because of their motivation to participate we were able to provide insights contributing to a better understanding of collaboration between the two disciplines and how collaboration could be promoted. Moreover, the aim of the current study is in line with one of the key recommendations of the collaborative effort of the American Geriatrics Society and the American Academy of Hospice and Palliative Medicine, to identify areas of resistance to collaboration [ 18 ].
Considering the growing need of palliative care for older people, improving knowledge about palliative care principles and acquainting general palliative care skills of geriatricians and other health care professionals is of crucial importance. However, whilst there are good examples of close clinical working between the disciplines, e. Limited understanding about what the other discipline offers, a lack of common practice and limited communication between disciplines and settings were considered as barriers for collaboration between palliative care and geriatric medicine.
To this end, establishing more academic chairs is seen as a priority and would be an important facilitator for further education and development at the intersection of the two disciplines. This could also result in a better collaboration between and integration of palliative care and geriatric medicine. The datasets supporting the conclusions of this article are available from the corresponding author upon request.
United Nations. World Population Ageing. Palliative Care for Older People: better practices. Palliative care for older people : a public health perspective.
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Matzo ML. Palliative Care: prognostication and the chronically ill: methods you need to know as chronic disease progresses in older adults. Am J Nurs. Adult Health in Great Britain, Assessing differences in care needs and service utilization in geriatric palliative care patients. J Pain Symptom Manage. A common definition of geriatric palliative medicine. J Am Geriatr Soc. Factors influencing ICU referral at the end of life in the elderly. Z Gerontol Geriatr.
Differences in care received by patients with and without dementia who died during acute hospital admission: a retrospective case note study.
Age Ageing. Barriers and facilitators to the receipt of palliative care for people with dementia: the views of medical and nursing staff. Palliat Med. Birch D, Draper J. A critical literature review exploring the challenges of delivering effective palliative care to older people with dementia. J Clin Nurs. White paper defining optimal palliative care in older people with dementia: a Delphi study and recommendations from the European Association for Palliative Care. Early palliative care for patients with metastatic non-small-cell lung cancer.
N Engl J Med.
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Interventions for improving palliative care for older people living in nursing care homes. Cochrane Database Syst Rev. Palliative care consultation teams cut hospital costs for Medicaid beneficiaries. Health Aff Millwood. World Health Organization. Strengthening of palliative care as a component of integrated treatmentthroughout the life course. Frey JH. The group interview in social research. Soc Sci J. Using codes and code manuals: a template organizing style of interpretation.
Doing Qualitative Research. Newbury Park, California: Sage; Generalist plus specialist palliative care--creating a more sustainable model. Council of Europe Recommendation Rec 24 of the Committee of Ministers to memberstates on the organisation of palliative care.
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Europe-wide survey of teaching in geriatric medicine. Donabedian A. Vol 1. Explorations in Quality Assessment and Monitoring. Download references. The authors would like to thank all participants of the four group interviews and Susanne Bennett for her administrative support. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
KM RH received this funding.
The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Correspondence to Gwenda Albers. GA and KF carried out the discussion groups and analysis of the data, the interpretation of the results and drafted the manuscript.
All authors read and approved the final manuscript. Reprints and Permissions. Search all BMC articles Search. Research article Open Access Open Peer Review Published: 11 May A qualitative exploration of the collaborative working between palliative care and geriatric medicine: Barriers and facilitators from a European perspective Gwenda Albers 1 , 2 , K. Froggatt 3 , L. Van den Block 4 , G.
Gambassi 5 , P. Vanden Berghe 2 , S. Pautex 6 , N. Abstract Background With an increasing number of people dying in old age, collaboration between palliative care and geriatric medicine is increasingly being advocated in order to promote better health and health care for the increasing number of older people.
Methods Four semi-structured group interviews were undertaken with 32 participants from 18 countries worldwide. Results Limited knowledge and understanding of what the other discipline offers, a lack of common practice and a lack of communication between disciplines and settings were considered as barriers for collaboration between palliative care and geriatric medicine. Conclusions Improving knowledge about its principles and acquainting basic palliative care skills appears mandatory for geriatricians and other health care professionals.
Open Peer Review reports. Background Populations are ageing in all European countries with a particularly rapid increase in the number of people over 80 years old [ 1 ]. Thus, a study was undertaken to answer the following research questions: What common ground exists between palliative care and geriatric medicine and what are the areas for possible collaboration?
What are the barriers to closer collaboration between palliative care and geriatric medicine? Methods Design This descriptive exploratory study, located in an interpretivist frame, used semi-structured group interviews as the data collection method [ 19 ]. Data collection A semi-structured interview guide consisting of open questions and a set of prompts for each question was developed and reviewed within the multidisciplinary research team Additional file 1. Data analyses The interviews were transcribed.
Table 2 Common ground in palliative care and geriatric medicine Full size table. Table 3 Barriers and facilitators for collaboration between palliative care and geriatric medicine Full size table. Male general practitioner GP , Denmark, I3 The difficulty is the move from being under a geriatrician to moving into specialist palliative care. Geriatrician, Belgium, I2 So the oncologist approach us because they see that their patients more and more are heavily, multimorbid and they have no clue at all how to do decision-making for therapies.
Discussion This study has explored current experiences and perspectives about the collaborations between palliative care and geriatric medicine.