|
| | | % |
|
| Physicians’ roles | | |
| Information on end-of-life course | 69 | 75.8 |
| Coordination of care | 65 | 71.4 |
| Emotional support of relatives | 63 | 69.2 |
| Emotional support of the patient | 59 | 64.8 |
| Help with administrative regulations | 40 | 44.0 |
| Crisis intervention | 39 | 42.9 |
| Being there as human being | 35 | 38.5 |
| Answering questions on advanced directives | 26 | 28.6 |
| Advice regarding palliative care unit transfer | 16 | 17.6 |
| Spiritual support | 13 | 14.3 |
| Physicians wishing for more support or better cooperation | | |
| Health/nursing insurance and MDK | 16 | 17.6 |
| Patients’ family members | 8 | 8.8 |
| Hospitals | 5 | 5.5 |
| Physician peers | 3 | 3.3 |
| Administrative issues | 2 | 2.2 |
| Nursing services | 2 | 2.2 |
| Physicians valuing the following aspects as particularly good | | |
| Family members as positive contributors | 76 | 83.5 |
| Feeling welcome in the patients home by the family members | 24 | 26.4 |
| Care of nursing service | 21 | 23.1 |
| Control of symptoms | 15 | 16.5 |
| Patient able to die at home | 10 | 11.0 |
| Cooperation of all involved parties | 6 | 6.6 |
| Communication with family members | 4 | 4.4 |
| Cooperation with hospital | 1 | 1.1 |
| Problems during end-of-life care | | |
| Next of kin not supportive | 11 | 11.0 |
| Family members unable to help due to own mental or physical overburden | 7 | 7.7 |
| Family members lacking interest | 2 | 2.2 |
| Next of kin being additional stressor | 1 | 1.1 |
| Reasonable therapies denied for religious reasons by a caregiver | 1 | 1.1 |
| Disagreement on the concept of care with a relative who was also physician himself | 1 | 1.1 |
| Moments of insecurity during palliative care | 31 | 34.1 |
| Due to own personal involvement | 6 | 6.6 |
| Due to extraordinary support required | 5 | 5.5 |
| Due to psychological situation, disease process, or lack of medication response | 5 | 5.5 |
|
