CoChat
Sign Up
Cited by 209Palliative Care and End-of-Life IssuesPatient-Provider Communication in HealthcarePalliative and Oncologic Care

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Barriers to advance care planning in cancer, heart failure and dementia patients: a focus group study on general practitioners’ views and experiences.

Open access
De Vleminck, Aline, Pardon, Koen, Beernaert, Kim, Deschepper, Reginald, Houttekier, Dirk, Van Audenhove, Chantal, Deliens, Luc, Vander Stichele, Robert·2014·PLoS ONE
DOI 10.1371/journal.pone.0084905PMC PMC3897376
Open this paper in CoChat — free accountOpen PDF

Abstract

BACKGROUND: The long-term and often lifelong relationship of general practitioners (GPs) with their patients is considered to make them the ideal initiators of advance care planning (ACP). However, in general the incidence of ACP discussions is low and ACP seems to occur more often for cancer patients than for those with dementia or heart failure. OBJECTIVE: To identify the barriers, from GPs' perspective, to initiating ACP and to gain insight into any differences in barriers between the trajectories of patients with cancer, heart failure and dementia. METHOD: Five focus groups were held with GPs (n = 36) in Flanders, Belgium. The focus group discussions were transcribed verbatim and analyzed using the method of constant comparative analysis. RESULTS: THREE TYPES OF BARRIERS WERE DISTINGUISHED: barriers relating to the GP, to the patient and family and to the health care system. In cancer patients, a GP's lack of knowledge about treatment options and the lack of structural collaboration between the GP and specialist were expressed as barriers. Barriers that occured more often with heart failure and dementia were the lack of GP familiarity with the terminal phase, the lack of key moments to initiate ACP, the patient's lack of awareness of their diagnosis and prognosis and the fact that patients did not often initiate such discussions themselves. The future lack of decision-making capacity of dementia patients was reported by the GPs as a specific barrier for the initiation of ACP. CONCLUSION: The results of our study contribute to a better understanding of the factors hindering GPs in initiating ACP. Multiple barriers need to be overcome, of which many can be addressed through the development of practical guidelines and educational interventions.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1371/journal.pone.0084905

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Figures

Figure 1 Topic guide of the focus groups with general practitioners.
Figure 1 Topic guide of the focus groups with general practitioners.CC BY · PubMed Central

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 42 references

Cited by

Sorted by citations

Items 101–200 of 207

Related

See all

Metadata

Authors
De Vleminck, A., Pardon, K., Beernaert, K., Deschepper, R., Houttekier, D., Van Audenhove, C., Deliens, L., & Vander Stichele, R.
Affiliations
Vrije Universiteit Brussel (BE)
ORCID
Venue
PLoS ONE
Publisher
Public Library of Science (PLoS)
Published
2014-01-21
Volume
9
Issue
1
Pages
e84905
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0084905
PMC
PMC3897376
OpenAlex
W2070638367
Cited by
209
References
42
Citations by year
2026: 8 · 2025: 12 · 2024: 21 · 2023: 12 · 2022: 24 · 2021: 30 · 2020: 21 · 2019: 24 · 2018: 22 · 2017: 6 · 2016: 17 · 2015: 9 · 2014: 3
FWCI
11.61
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
  • Vrije Universiteit Amsterdam
  • Agentschap voor Innovatie door Wetenschap en Technologie (100036)
  • Vlaamse regering
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
advance care planning, barriers to advance care planning, general practitioners, cancer patients, heart failure, dementia, GP-patient relationship, terminal phase, decision-making capacity, prognosis awareness, end-of-life care
MeSH terms
Adult, Aged, Attitude of Health Personnel, Belgium, Dementia, Female, Heart Failure, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Neoplasms, Physician-Patient Relations, Practice Patterns, Physicians', Focus Groups, Guidelines as Topic, Advance Care Planning, General Practitioners

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review