title: [Palliative care: profile of medical practice in the Quebec city region].
abstract: OBJECTIVE
  To describe the palliative care provided by physicians in the Quebec city region and to identify factors that affect its delivery.
  
  
  METHODS
  Mailed survey.
  
  
  METHODS
  Quebec city region.
  
  
  METHODS
  General practitioners in active clinical practice.
  
  
  METHODS
  Physicians' personal and professional characteristics and their palliative care practice (volume of work, source of requests for follow-up care, place of delivery of care, resources used, difficulties, encountered).
  
  
  RESULTS
  Of the 476 physicians (67%) who responded to our survey, 295 (62%) provided palliative care. Of these, 70% saw no more than two patients requiring palliative care per month, and 55% devoted no more than 2 hours per week to this aspect of patient care. Most (76%) provided palliative care in a variety of settings (private office, home, institution). Home care teams working out of local community health centres are the resource physicians drew upon most frequently (69%). The main difficulties encountered were a lack of clinical expertise, scheduling home care, and providing patients and families with emotional support.
  
  
  CONCLUSIONS
  Most physicians in the Quebec city region provided palliative care occasionally. This care could be improved by removing various logistical and professional barriers.
authors.affiliation: Unité de médecine familiale de l'Hôpital Laval au Québec, QC.
authors.forename: M
authors.initials: M
authors.lastname: Aubin
authors.forename: L
authors.initials: L
authors.lastname: Vézina
authors.forename: P
authors.initials: P
authors.lastname: Allard
authors.forename: R
authors.initials: R
authors.lastname: Bergeron
authors.forename: A P
authors.initials: AP
authors.lastname: Lemieux
mesh_terms: D000328:Adult; D005194:Family Practice / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006792:House Calls; D006801:Humans; D007326:Institutionalization; D008297:Male; D009819:Office Visits; D010166:Palliative Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011792:Quebec; D016526:Workload