Couchman, E. orcid.org/0000-0001-5157-0431, Ejegi-Memeh, S., Mitchell, S. orcid.org/0000-0002-1477-7860 et al. (1 more author) (2023) Facilitators of and barriers to continuity with GPs in primary palliative cancer care: a mixed-methods systematic review. Progress in Palliative Care, 31 (1). pp. 18-36. ISSN 0969-9260
Abstract
Background
General practitioners (GPs) have a key role in palliative care provision for patients with advanced cancer. Continuity is valued by patients with such needs but is limited within current primary care systems. Exploration of the facilitators of and barriers to continuity in this complex context is required.
Aim
To identify facilitators of and barriers to continuity with GPs in primary palliative care among people with advanced cancer and/or their close persons.
Design
Mixed-methods systematic review with content and thematic analyses.
Data sources
Keyword searches were carried out in five databases (Ovid MEDLINE(R), Ovid EMBASE(R), CINAHL, Web of Science, and Cochrane), policy documents and grey literature search engines in December 2020. Evidence was reviewed using relevant quality appraisal tools; data were extracted and tabulated. Findings were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and the review was prospectively registered on PROSPERO.
Results
Seventeen studies were included. Six studies originated from the UK; six from Europe; three from Canada; and two from Australia. Two studies were mixed-methods, four presented quantitative data, and 11 papers reported on qualitative studies. Four themes were developed: (1) the role of GPs in facilitating continuity; (2) the role of patients and/or close persons in facilitating continuity; (3) changing needs throughout the disease trajectory; and (4) the organisational context in primary care.
Conclusions
Facilitators of and barriers to continuity in primary palliative care are outlined. Further research is required to explore how patients and/or their close persons experience continuity in primary palliative care. Specifically, the work required of them to achieve their desired level of continuity, and their capacity for action in this context, needs further attention.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 Informa UK Limited, trading as Taylor & Francis Group. |
Keywords: | Palliative supportive care; Palliative care medicine; Neoplasms; Continuity of patient care; Primary care |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 06 Oct 2022 13:19 |
Last Modified: | 12 Jul 2024 15:50 |
Status: | Published |
Publisher: | Informa UK Limited |
Refereed: | Yes |
Identification Number: | 10.1080/09699260.2022.2074126 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:191638 |