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JOURNAL ARTICLE

Providing palliative care in primary care: how satisfied are GPs and district nurses with current out-of-hours arrangements?

C Shipman, J Addington-Hall, S Barclay, J Briggs, I Cox, L Daniels, D Millar
British Journal of General Practice 2000, 50 (455): 477-8
10962787
The complex needs of palliative care patients require an informed, expert, and swift response from out-of-hours general medical services, particularly if hospital admission is to be avoided. Few general practitioners (GPs) reported routinely handing over information on their palliative care patients, particularly to GP co-operatives. District nurses and inner-city GPs were least satisfied with aspects of out-of-hours care. Most responders wanted 24-hour availability of specialist palliative care. This indicates a need to develop and evaluate out-of-hours palliative care procedures and protocols, particularly for GP co-operatives, and to improve inter-agency collaboration.

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