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Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe. 牙周疾病与心血管疾病、糖尿病和呼吸系统疾病:欧洲牙周病学联合会和欧洲 WONCA 共识报告摘要。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI: 10.1080/13814788.2024.2320120
David Herrera, Mariano Sanz, Lior Shapira, Carlos Brotons, Iain Chapple, Thomas Frese, Filippo Graziani, F D Richard Hobbs, Olivier Huck, Eva Hummers, Søren Jepsen, Oleg Kravtchenko, Phoebus Madianos, Ana Molina, Mehmet Ungan, Josep Vilaseca, Adam Windak, Shlomo Vinker

Background: Periodontitis is a chronic inflammatory non-communicable disease (NCD) characterised by the destruction of the tooth-supporting apparatus (periodontium), including alveolar bone, the presence of periodontal pockets, and bleeding on probing.

Objectives: To outline, for family doctors, the implications of the association between periodontal and systemic diseases; to explore the role of family doctors in managing periodontitis as an ubiquitous non-communicable disease (NCD).

Methods: The consensus reports of previous focused collaborative workshops between WONCA Europe and the European Federation of Periodontology (using previously undertaken systematic reviews), and a specifically commissioned systematic review formed the technical papers to underpin discussions. Working groups prepared proposals independently, and the proposals were subsequently discussed and approved at plenary meetings.

Results: Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19 complications. Treatment of periodontitis has been associated with improvements in systemic health outcomes. The article also presents evidence gaps. Oral health care professionals (OHPs) and family doctors should collaborate in managing these conditions, including implementing strategies for early case detection of periodontitis in primary medical care centres and of systemic NCDs in oral/dental care settings. There is a need to raise awareness of periodontal diseases, their consequences, and the associated risk factors amongst family doctors.

Conclusion: Closer collaboration between OHPs and family doctors is important in the early case detection and management of NCDs like cardiovascular diseases, diabetes mellitus, and respiratory diseases. Strategies for early case detection/prevention of NCDs, including periodontitis, should be developed for family doctors, other health professionals (OHPs), and healthcare funders. Evidence-based information on the reported associations between periodontitis and other NCDs should be made available to family doctors, OHPs, healthcare funders, patients, and the general population.

背景:牙周炎是一种慢性炎症性非传染性疾病(NCD),其特征是包括牙槽骨在内的牙齿支持装置(牙周)遭到破坏、出现牙周袋以及探诊出血:概述牙周病与全身性疾病之间的关联对家庭医生的影响;探讨家庭医生在管理牙周炎这一普遍存在的非传染性疾病(NCD)方面的作用:方法:WONCA欧洲分会和欧洲牙周病学联合会(European Federation of Periodontology)之前开展的重点合作研讨会的共识报告(使用之前进行的系统回顾),以及专门委托进行的系统回顾,构成了支持讨论的技术文件。工作组独立准备提案,随后在全体会议上讨论并批准提案:结果:牙周炎与心血管疾病、糖尿病、慢性阻塞性肺病、阻塞性睡眠呼吸暂停以及 COVID-19 并发症均有关联。牙周炎的治疗与全身健康状况的改善有关。文章还介绍了证据差距。口腔保健专业人员(OHPs)和家庭医生应合作管理这些疾病,包括在初级医疗保健中心实施牙周炎早期病例检测策略,以及在口腔/牙科护理环境中实施系统性非传染性疾病早期病例检测策略。有必要提高家庭医生对牙周疾病、其后果以及相关风险因素的认识:结论:在心血管疾病、糖尿病和呼吸系统疾病等非传染性疾病的早期病例检测和管理方面,口腔保健医生和家庭医生之间的密切合作非常重要。应为家庭医生、其他卫生专业人员(OHPs)和医疗保健资助者制定非传染性疾病(包括牙周炎)的早期病例检测/预防策略。应向家庭医生、其他保健专业人员、医疗保健资助者、患者和普通民众提供有关牙周炎与其他非传染性疾病之间关联的循证信息。
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引用次数: 0
Did aetiology matter in illness duration and complications in patients presenting in primary care with acute respiratory tract infections early in the COVID-19 pandemic: An observational study in nine countries. 在 COVID-19 大流行早期,在初级医疗机构就诊的急性呼吸道感染患者的病程和并发症是否与病因有关:九个国家的观察研究。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-01 Epub Date: 2024-07-12 DOI: 10.1080/13814788.2024.2376084
Roderick P Venekamp, Marinus J C Eijkemans, Nicolaas P A Zuithoff, Femke Böhmer, Slawomir Chlabicz, Annelies Colliers, Ana García-Sangenís, Lile Malania, Jozsef Pauer, Angela Tomacinschii, Theo J Verheij, Herman Goossens, Akke Vellinga, Christopher C Butler, Alike W van der Velden

Background: Despite considerable research into COVID-19 sequelae, little is known about differences in illness duration and complications in patients presenting in primary care with symptoms of acute respiratory tract infections (RTI) that are and are not attributed to SARS-CoV-2 infection.

Objective: To explore whether aetiology impacted course of illness and prediction of complications in patients presenting in primary care with symptoms of RTI early in the COVID-19 pandemic.

Methods: Between April 2020-March 2021 general practitioners from nine European countries recruited consecutively contacting patients with RTI symptoms. At baseline, an oropharyngeal-nasal swab was obtained for aetiology determination using PCR after follow-up of 28 days. Time to self-reported recovery was analysed with Kaplan-Meier curves. Predictors (baseline variables of demographics, patient and disease characteristics) of a complicated course (composite of hospital admission and persisting signs/symptoms at 28 days follow-up) were explored with logistic regression modelling.

Results: Of 855 patients with RTI symptoms, 237 (27.7%) tested SARS-CoV-2 positive. The proportion not feeling fully recovered (15.6% vs 18.1%, p = 0.39), reporting being extremely tired (9.7% vs 12.8%, p = 0.21), and not having returned to usual daily activities (18.1% vs 14.4%, p = 0.18) at day 28 were comparable between SARS-CoV-2 positive (n = 237) and negative (n = 618) groups. However, among those feeling fully recovered (SARS-CoV-2 positive: 200 patients, SARS-CoV-2 negative: 506 patients), time to full recovery was significantly longer in SARS-CoV-2 patients (10.6 vs 7.7 days, p < 0.001). We found no evidence that predictors of a complicated course differed between groups (p = 0.07).

Conclusion: Early in the pandemic, the proportion of patients not feeling fully recovered by 28 days was similar between SARS-CoV-2 positive and negative patients presenting in primary care with RTI symptoms, but it took somewhat longer for SARS-CoV-2 patients to feel fully recovered. More research is needed on predictors of a complicated course in RTI.

背景:尽管对COVID-19后遗症进行了大量研究,但人们对初级医疗机构中出现急性呼吸道感染(RTI)症状的患者与非SARS-CoV-2感染引起的患者在病程和并发症方面的差异知之甚少:目的:探讨在 COVID-19 大流行早期,病原学是否会影响初级医疗机构中出现 RTI 症状的患者的病程和并发症预测:2020年4月至2021年3月期间,来自9个欧洲国家的全科医生连续招募有RTI症状的患者。在基线时,采集口咽-鼻拭子,在随访 28 天后使用 PCR 进行病原学鉴定。用 Kaplan-Meier 曲线分析了自述康复的时间。利用逻辑回归模型探讨了复杂病程(入院和随访 28 天时症状持续存在的综合结果)的预测因素(人口统计学、患者和疾病特征的基线变量):在 855 名出现 RTI 症状的患者中,有 237 人(27.7%)的 SARS-CoV-2 检测结果呈阳性。SARS-CoV-2 阳性组(n = 237)和阴性组(n = 618)在第 28 天时感觉未完全康复(15.6% vs 18.1%,p = 0.39)、极度疲倦(9.7% vs 12.8%,p = 0.21)和未恢复日常活动(18.1% vs 14.4%,p = 0.18)的比例相当。然而,在感觉完全康复的患者中(SARS-CoV-2 阳性:200 名患者,SARS-CoV-2 阴性:506 名患者),SARS-CoV-2 患者完全康复的时间明显更长(10.6 天 vs 7.7 天,P = 0.07):结论:在疫情早期,SARS-CoV-2 阳性和阴性患者在 28 天内未完全康复的比例相似,但 SARS-CoV-2 患者完全康复的时间稍长。需要对 RTI 病程复杂的预测因素进行更多的研究。
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引用次数: 0
Educational needs assessment for health advocate role in family medicine residency training in Turkey: A Delphi study. 土耳其家庭医学住院医师培训中健康倡导者角色的教育需求评估:德尔菲研究。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-01 Epub Date: 2024-08-29 DOI: 10.1080/13814788.2024.2386284
Meral Demirören, Duygu Ayhan Başer

Background: Health advocacy (HA) involves purposeful actions to inform, mobilise, and organise activities to address social determinants of health affecting individuals or communities. It is a fundamental component of medical practice, deemed mandatory by professional and educational bodies. Therefore, including health advocacy training in pre- and post-graduate medical education is crucial.

Objectives: In this study, we aimed to determine the need for HA training for family physicians (FPs) based on expert opinions.

Methods: We conducted a modified Delphi study with 105 academic experts and active FPs to explore HA training needs. Using a three-round technique, experts first answered five open-ended questions on HA competencies, teaching and assessment methods, learning environments, and integration in residency training. In the second round, statements from the responses were rated on a 5-point Likert scale, in the third round, statements below the 85% consensus level were revised and re-evaluated.

Results: The panel consisted of 41 experts (33 academicians, 8 practitioners) who accepted the invitation and completed the study. At the end of the three rounds, consensus was reached on 38 statements for HA competencies, 15 for teaching methods, 8 for assessment methods, and 20 for integration for HA training.

Conclusion: Competencies for the HA role are very broad in perspective and show commonalities with the FPs' 'professional', 'expert' and 'leader' roles. Longitudinally integration of the HA training into the national 'Family Medicine Residency Training Core Curriculum' through participatory processes and training of FM trainers in HA is strongly recommended.

背景:健康倡导(HA)涉及有目的的行动,即提供信息、动员和组织活动,以解决影响个人或社区健康的社会决定因素。它是医疗实践的基本组成部分,被专业和教育机构视为必修课程。因此,将健康倡导培训纳入医学预科和研究生教育至关重要:在本研究中,我们旨在根据专家意见确定家庭医生(FPs)对健康倡导培训的需求:方法:我们对 105 名学术专家和在职全科医生进行了改良德尔菲研究,以探讨医护培训需求。采用三轮技术,专家们首先回答了有关医管局能力、教学和评估方法、学习环境和住院医师培训整合的五个开放式问题。在第二轮中,专家们用 5 分李克特量表对回答中的陈述进行评分;在第三轮中,专家们对低于 85% 协商一致水平的陈述进行修改和重新评估:专家小组由 41 名专家(33 名院士,8 名从业人员)组成,他们接受了邀请并完成了研究。在三轮研究结束时,就 38 项关于医管局能力的陈述、15 项关于教学方法的陈述、8 项关于评估方法的陈述以及 20 项关于医管局培训整合的陈述达成了共识:结论:医护人员角色的能力具有非常广泛的视角,并与家庭医生的 "专业"、"专家 "和 "领导者 "角色具有共性。强烈建议通过参与式进程和对全科医生培训师进行医管局培训,将医管局培训纳入国家 "全科住院医师培训核心课程"。
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引用次数: 0
How to overcome information and communication barriers in Human Papillomavirus vaccination? A SWOT analysis based on the opinions of European family doctors in contact with young people and their parents. 如何克服人类乳头瘤病毒疫苗接种中的信息和沟通障碍?根据欧洲家庭医生与青少年及其家长接触的意见进行 SWOT 分析。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI: 10.1080/13814788.2024.2393858
Hüsna Sarıca Çevik, A Gülsen Ceyhun Peker, Süleyman Görpelioğlu, Shlomo Vinker, Mehmet Ungan

Background: Family doctors (FDs)/General practitioners (GPs) are the key contact points for young people and their parents regarding Human Papillomavirus (HPV) vaccination. However, their recommendations are influenced by communication skills.

Objectives: Under the EU4Health project, PROTECT-EUROPE, WONCA Europe led a task to identify and analyse strategies for clinicians' interpersonal communication skills when discussing HPV and its vaccination with young people and their parents.

Methods: Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis using qualitative data focused on HPV vaccine acceptance and communication with the target population. FDs/GPs, members of WONCA Europe, were recruited using convenience and snowball sampling through surveys at conferences and emails.

Results: 223 FDs/GPs from 36 countries participated. Strengths included face-to-face communication, extensively used to promote the HPV vaccine. Weaknesses involved financial constraints, limited knowledge about gender-neutral vaccination, safety concerns, and time pressure during the consultations. Opportunities included confidentiality, open dialogue, trusting relationship between FDs/GPs and the target population, continuing medical education, school training, and questions & answers sessions to increase vaccine communication. Threats included social norms and cultures, stigmas against HPV, and anti-vaccination movements hindering discussions on HPV vaccination.

Conclusion: It is crucial to train FDs/GPs to address knowledge gaps, enhance communication skills, and maintain a trusting relationship with patients when discussing HPV vaccination. Overcoming financial barriers and ensuring gender-neutral vaccination programs are accessible across Europe are also essential. Providing accurate information through the web- and school-based channels and developing community-oriented approaches targeting sociocultural factors and different needs to eliminate HPV vaccine stigmas should be considered when recommending the vaccine.

背景:家庭医生(FD)/全科医生(GP)是青少年及其家长接种人类乳头瘤病毒(HPV)疫苗的主要联系人。然而,他们的建议受到沟通技巧的影响:在欧盟 4Health 项目 "PROTECT-EUROPE "中,WONCA 欧洲领导了一项任务,旨在确定和分析临床医生在与年轻人及其父母讨论 HPV 及其疫苗接种时的人际沟通技巧策略:方法:利用定性数据进行优势、劣势、机会和威胁 (SWOT) 分析,重点关注 HPV 疫苗的接受程度以及与目标人群的沟通。通过在会议上进行调查和发送电子邮件的方式,采用方便抽样和滚雪球抽样的方法招募了WONCA欧洲分会的FDs/GPs成员。结果:来自36个国家的223名FDs/GPs参加了此次活动。优势包括面对面交流,广泛用于推广 HPV 疫苗。不足之处包括经济拮据、对性别中立疫苗接种的了解有限、安全问题以及咨询过程中的时间压力。机遇包括保密性、公开对话、外科医生/保健医生与目标人群之间的信任关系、继续医学教育、学校培训以及问答环节,以加强疫苗宣传。威胁包括社会规范和文化、对人类乳头瘤病毒的污名化以及反疫苗接种运动阻碍了有关人类乳头瘤病毒疫苗接种的讨论:结论:在讨论 HPV 疫苗接种时,培训外科医生/保健医生以弥补知识差距、提高沟通技巧并与患者保持信任关系至关重要。此外,还必须克服经济障碍,确保欧洲各地都能实施不分性别的疫苗接种计划。在推荐疫苗时,应考虑通过网络和学校渠道提供准确的信息,并针对社会文化因素和不同需求制定以社区为导向的方法,以消除对 HPV 疫苗的偏见。
{"title":"How to overcome information and communication barriers in Human Papillomavirus vaccination? A SWOT analysis based on the opinions of European family doctors in contact with young people and their parents.","authors":"Hüsna Sarıca Çevik, A Gülsen Ceyhun Peker, Süleyman Görpelioğlu, Shlomo Vinker, Mehmet Ungan","doi":"10.1080/13814788.2024.2393858","DOIUrl":"10.1080/13814788.2024.2393858","url":null,"abstract":"<p><strong>Background: </strong>Family doctors (FDs)/General practitioners (GPs) are the key contact points for young people and their parents regarding Human Papillomavirus (HPV) vaccination. However, their recommendations are influenced by communication skills.</p><p><strong>Objectives: </strong>Under the EU4Health project, PROTECT-EUROPE, WONCA Europe led a task to identify and analyse strategies for clinicians' interpersonal communication skills when discussing HPV and its vaccination with young people and their parents.</p><p><strong>Methods: </strong>Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis using qualitative data focused on HPV vaccine acceptance and communication with the target population. FDs/GPs, members of WONCA Europe, were recruited using convenience and snowball sampling through surveys at conferences and emails.</p><p><strong>Results: </strong>223 FDs/GPs from 36 countries participated. Strengths included face-to-face communication, extensively used to promote the HPV vaccine. Weaknesses involved financial constraints, limited knowledge about gender-neutral vaccination, safety concerns, and time pressure during the consultations. Opportunities included confidentiality, open dialogue, trusting relationship between FDs/GPs and the target population, continuing medical education, school training, and questions & answers sessions to increase vaccine communication. Threats included social norms and cultures, stigmas against HPV, and anti-vaccination movements hindering discussions on HPV vaccination.</p><p><strong>Conclusion: </strong>It is crucial to train FDs/GPs to address knowledge gaps, enhance communication skills, and maintain a trusting relationship with patients when discussing HPV vaccination. Overcoming financial barriers and ensuring gender-neutral vaccination programs are accessible across Europe are also essential. Providing accurate information through the web- and school-based channels and developing community-oriented approaches targeting sociocultural factors and different needs to eliminate HPV vaccine stigmas should be considered when recommending the vaccine.</p>","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"30 1","pages":"2393858"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11370665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 'Consensus Reporting Items for Studies in Primary Care' (CRISP) statement in the European Journal of General Practice. 欧洲全科医学杂志》中的 "初级保健研究共识报告项目"(CRISP)声明。
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-09 DOI: 10.1080/13814788.2024.2370117
Jelle Stoffers,Jako Burgers
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引用次数: 0
Evidence-based general practice: Selected abstracts from the 98th EGPRN Meeting, Porto, Portugal, 9–12 May 2024 循证全科实践:第 98 届 EGPRN 会议摘要选编,葡萄牙波尔图,2024 年 5 月 9-12 日
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-08-27 DOI: 10.1080/13814788.2024.2390444
Mine Kaya Bezgin
With its strong commitment to Primary Care, Portugal’s healthcare landscape has witnessed significant strides in recent years. The 98th EGPRN meeting in Porto was a testament to the dedication and ...
近年来,葡萄牙的医疗保健事业取得了长足的进步。在波尔图举行的第 98 届 EGPRN 会议充分证明了葡萄牙在初级医疗保健领域的奉献精神和...
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引用次数: 0
Effectiveness of tailored talks between a cancer screening specialist and general practitioners to improve the uptake of colorectal cancer screening in Ancona (Italy) during the pandemic period 安科纳(意大利)癌症筛查专家与全科医生开展有针对性的会谈以提高大流行病期间大肠癌筛查率的效果
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-04-15 DOI: 10.1080/13814788.2024.2340672
Cecilia Acuti Martellucci, Giusi Giacomini, Maria Elena Flacco, Lamberto Manzoli, Margherita Morettini, Mosè Martellucci, Sara Rosati, Silvia Bizzarri, Matthew Palmer, Lidia Pascucci, Marco Uncini, Francesca Pasqualini
Colorectal cancer (CRC) screening uptake in many countries has been low and further impacted by the COVID-19 pandemic. General Practitioners (GPs) are key facilitators, however research on their im...
许多国家的结直肠癌 (CRC) 筛查率一直很低,并受到 COVID-19 流行病的进一步影响。全科医生(GPs)是关键的推动者,但对其影响的研究却很少。
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引用次数: 0
Innovative Technologies and Methods in General Practice: Selected Abstracts from the 97th EGPRN Meeting, Prague, Czech Republic, 12–15 October 2023 全科实践中的创新技术和方法:第 97 届 EGPRN 会议摘要选编,捷克共和国布拉格,2023 年 10 月 12-15 日
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-02-22 DOI: 10.1080/13814788.2024.2312410
Published in European Journal of General Practice (Vol. 30, No. 1, 2024)
发表于《欧洲全科医学杂志》(第 30 卷第 1 期,2024 年)
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引用次数: 0
Climate change is a health issue. The general practitioner and planetary health. 气候变化是一个健康问题。全科医生和地球健康。
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-01 Epub Date: 2023-11-20 DOI: 10.1080/13814788.2023.2277569
Jelle Stoffers, Jean Muris
{"title":"Climate change is a health issue. The general practitioner and planetary health.","authors":"Jelle Stoffers, Jean Muris","doi":"10.1080/13814788.2023.2277569","DOIUrl":"10.1080/13814788.2023.2277569","url":null,"abstract":"","PeriodicalId":54380,"journal":{"name":"European Journal of General Practice","volume":"29 1","pages":"2277569"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advance care planning among older adults in Belgium with Turkish backgrounds and palliative care needs: A qualitative interview study. 具有土耳其背景和姑息治疗需求的比利时老年人的预先护理计划:一项定性访谈研究。
IF 3.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-01 Epub Date: 2023-10-23 DOI: 10.1080/13814788.2023.2271661
Hakki Demirkapu, Lieve Van den Block, Stéphanie De Maesschalck, Aline De Vleminck, F Zehra Colak, Dirk Devroey

Background: Data on advance care planning (ACP) among migrants in Europe is lacking. Research has shown that few older migrants in the United States perform ACP due to healthcare system distrust, collectivistic values and spirituality/religion.

Objectives: To explore the ACP knowledge and perspectives of older Turkish-origin adults in Belgium requiring palliative care.

Method: General practitioners (GPs) in Brussels and Antwerp recruited Turkish-origin participants aged ≥ 65 years with palliative care eligibility for this qualitative study. A GP conducted semi-structured interviews in Turkish in respondents' homes between May 2019 and February 2022 using a topic guide. Two researchers performed combined inductive/deductive thematic data analysis.

Results: All 15 interviewees (average age, 79 years) lacked ACP awareness and information. Some had discussed specific end-of-life preferences (e.g. care location, burial place) with family. Still, many did not feel the need to discuss future healthcare preferences, due mainly to trust in God and family for caretaking and decision-making. Some respondents viewed ACP discussions as applicable, relieving the burden on family and enabling proactive addressing of 'what if' questions. Self-identified ACP barriers were fear of making wrong decisions, 'living in the moment' and difficulty discussing death. Facilitators were obtaining sufficient ACP information and recent family illness or death.

Conclusion: Our sample of Turkish-origin older adults in Belgium requiring palliative care lacked ACP knowledge. Our findings suggest that their lack of engagement in discussing end-of-life medical care planning was linked to their family dynamics and religion. The findings have implications for healthcare providers to ethnic-minority groups.

背景:缺乏关于欧洲移民预先护理计划(ACP)的数据。研究表明,由于医疗系统的不信任、集体主义价值观和精神/宗教,美国很少有老年移民进行ACP。目的:探索比利时需要姑息治疗的土耳其裔老年人的ACP知识和观点。方法:布鲁塞尔和安特卫普的全科医生招募年龄≥65岁的土耳其裔参与者 符合姑息治疗资格的年数。2019年5月至2022年2月,一名全科医生在受访者家中使用主题指南进行了土耳其语的半结构化采访。两名研究人员进行了归纳/演绎相结合的主题数据分析。结果:所有15名受访者(平均年龄79岁 年)缺乏ACP意识和信息。一些人与家人讨论了特定的临终偏好(如护理地点、埋葬地点)。尽管如此,许多人并不觉得有必要讨论未来的医疗偏好,主要是因为他们信任上帝和家人的照顾和决策。一些答复者认为非加太方案的讨论是适用的,可以减轻家庭负担,并能够积极解决“如果”的问题。自我认同的ACP障碍是害怕做出错误的决定、“活在当下”和难以讨论死亡。促进者正在获得足够的ACP信息和最近的家庭疾病或死亡。结论:我们对比利时需要姑息治疗的土耳其裔老年人样本缺乏ACP知识。我们的研究结果表明,他们没有参与讨论临终医疗保健计划,这与他们的家庭动态和宗教有关。这一发现对少数族裔群体的医疗保健提供者具有启示意义。
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引用次数: 0
期刊
European Journal of General Practice
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