Audit of terminal care in a general practice.
نویسنده
چکیده
OBJECTIVE To determine satisfaction of relatives and general practitioners with care of patients during terminal illness and make recommendations on improving terminal care in general practice. DESIGN Interviews with available relatives of patients who had had terminal illnesses and died in 1987, supplemented by questionnaires; questionnaire survey of general practitioners after review of case notes of all their patients who had died of terminal illnesses in 1987. SETTING One urban general practice. SUBJECTS 34 Relatives of patients with terminal illnesses who died in 1987; five general practitioners from one practice. RESULTS In six cases relatives were dissatisfied, mainly because of lack of communication; in eight cases doctors were dissatisfied because of communication, poor symptom control, and inadequate care. IMPLICATIONS There is a need for improved communication between relatives and the health professionals involved in terminal care as well as better advice on services and benefits available to both patients and relatives. Bereavement counselling should be better organised.
منابع مشابه
Development and Psychometric Evaluation of Nursing Audit Tool
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متن کاملAudit in Practice
Objective-To determine satisfaction of relatives and general practitioners with care ofpatients during terminal illness and make recommendations on improving terminal care in general practice. Design-Interviews with available relatives of patients who had had terminal illnesses and died in 1987, supplemented by questionnaires; questionnaire survey of general practitioners after review of case n...
متن کاملA survey of audit activity in general practice.
BACKGROUND Since 1991, all general practices have been encouraged to undertake clinical audit. Audit groups report that participation is high, and some local surveys have been undertaken, but no detailed national survey has been reported. AIM To determine audit activities in general practices and the perceptions of general practitioners (GPs) regarding the future of clinical audit in primary ...
متن کاملSurvey of general practice audit in Leeds.
OBJECTIVE To determine general practitioners' attitudes to medical audit and to establish what initiatives are already being undertaken; to define future ideas for audit and perceived difficulties in implementing audit in primary care. DESIGN Analysis of responses to a self administered postal questionnaire. SETTING Urban conurbation with a population of about 750,000. PARTICIPANTS 386 ge...
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ورودعنوان ژورنال:
- BMJ
دوره 300 6730 شماره
صفحات -
تاریخ انتشار 1990