Palliative Care Training: A Survey of Physicians in Australia and Europe

Author:

LÖfmark Rurik1,Mortier Freddy2,Nilstun Tore3,Bosshard Feorg4,Cartwright Colleen5,Van Der Heide Agnes6,Norup Michael7,Simonato Lorenzo8,Onwuteaka-Philipsen Bregje9

Affiliation:

1. Centre for Bioethics, Karolinska Institutet and Uppsala University, Stockholm, Sweden

2. Ghent University, Centre for Environmental Philosophy and Bioethics, Belgium

3. Department of Medical Ethics, University of Lund, Lund, Sweden

4. University of Zurich, Institute of Legal Medicine, Zurich, Switzerland

5. The University of Queensland, Brisbane, Australia

6. Erasmus Medical Centre, University Medical Centre Rotterdam, Rotterdam, the Netherlands

7. University of Copenhagen, Department of Medical Philosophy and Clinical Theory, Copenhagen, Denmark

8. Department of Environmental Medicine and Public Health, University of Padova, Padova, Italy

9. Vrije Universiteit Medical Centre, Department of Social Medicine and Institute for Research in Extramural Medicine, Amsterdam, the Netherlands—on behalf of the EURELD Consortium

Abstract

The purpose of this paper is to present data about the level and background characteristics of physicians’ training in palliative care in Australia (AU), Belgium (BE), Denmark (DK), Italy (IT), the Netherlands (NL), Sweden (SE) and Switzerland (CH) (n=16,486). The response rate to an anonymous questionnaire differed between countries (39%-68%). In most countries approximately half of all responding physicians had any formal training in palliative care (median: 3–10 days). Exceptions were NL (78%) and IT (35%). The most common type of training was a postgraduate course. Physicians in nursing home medicine (only in NL), geriatrics, oncology (not in NL), and general practice had the most training. In all seven countries, physicians with such training discussed options for palliative care and options to forgo life-sustaining treatment more often with their patients than did physicians without. Irrespective of earlier palliative care training, 87%-98% of the physicians wanted extended training.

Publisher

SAGE Publications

Subject

General Medicine

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