Dr. Tara McCallan’s project, “Exploring barriers for Family Physicians to provide end-of-life care”, was presented by Helena Daudt, PhD at the Canadian Hospice Palliative Care Conference in Ottawa. See the poster here.
Dr. McCallan, family physician and Island Health palliative care physician, and Helena Daudt PhD, researcher from Victoria Hospice, undertook a quality improvement project to examine why some family physicians opt out of providing end of life care although palliative care services are in demand and will become increasingly so in the future.
Family physicians are trained to provide person-centered, comprehensive and continuing primary care. A number of studies show that patients appreciate the contribution of their family physician to provide symptom management at end of life and less acute care services are used.
Dr. McCallan and Helena Daudt interviewed ten family physicians, analyzed their responses and found that family physicians want to provide end of life care but face challenges. These include home visits, billing and system awareness. After conducting the interviews, Dr. McCallan, the Island Health End of Life Program, the Victoria Hospice Palliative Response Team and multiple palliative care physicians hosted a dine and learn event to share resources and information with family physicians.
This project was supported by Island Health, the Victoria Hospice, and the Health System Redesign Initiative (co-funded by the Joint Collaborative Committees that represent a partnership between the Government of BC and Doctors of BC). The dine and learn event was sponsored by the SSC-funded South Island Facilities Engagement Initiative.