title: General practitioner, specialist providers case conferences in palliative care--lessons learned from 56 case conferences.
abstract: OBJECTIVE
  To describe the utility and acceptability to general practitioners and palliative care staff of case conferences in palliative care.
  
  
  METHODS
  Research focussed on case conferences conducted between GPs and staff of three specialist palliative care units (in an inner urban, outer metropolitan and regional setting), at the time of referral of patients to the service. Telephone interviews were conducted with all GPs who participated in a case conference, and focus groups were conducted with palliative care staff.
  
  
  RESULTS
  For most GPs, case conferences by teleconference were a time effective and immediate means of information transfer. The best instances for a conference were at time of patient referral, time of discharge to the community, or where the case was complex. General practitioners appreciated access to multiple professionals simultaneously. Workload pressures were a drawback of participation for both GPs and specialists. Palliative care team members thought case conferences gave GPs an appreciation of a team approach, and reduced professional isolation. The usefulness of the case conferences depended on the willingness of the GP to participate. General practitioners would participate again provided they did not have to organise the case conference. Specialist staff were concerned by the financial cost of organising case conferences.
  
  
  CONCLUSIONS
  Case conferences provide useful information exchange between GPs and specialist staff, and are acceptable to both parties. Much depends on the individual GPs attitude toward participation, as well as the timing of the conferences in the course of the patient's illness. Organisation needs to be a task of the specialist units, who would need administrative support to organise them.
authors.affiliation: Discipline of General Practice, School of Medicine, University of Queensland.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Mitchell
authors.forename: Margaret
authors.initials: M
authors.lastname: Cherry
authors.forename: Rosemary
authors.initials: R
authors.lastname: Kennedy
authors.forename: Karen
authors.initials: K
authors.lastname: Weeden
authors.forename: Letty
authors.initials: L
authors.lastname: Burridge
authors.forename: Alexandra
authors.initials: A
authors.lastname: Clavarino
authors.forename: Peter
authors.initials: P
authors.lastname: O'Rourke
authors.forename: Chris
authors.initials: C
authors.lastname: Del Mar
mesh_terms: D001291:Attitude of Health Personnel; D005194:Family Practice / Q000458:organization & administration*; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D007407:Interviews as Topic; D010166:Palliative Care / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D011159:Population Surveillance; D036301:Qualitative Research; D011793:Queensland; D016526:Workload