title: A strategy to increase the palliative care capacity of rural primary health care providers.
abstract: OBJECTIVE
  To pilot and evaluate an intervention aimed at increasing the palliative care capacity of primary health care providers in rural and remote communities.
  
  
  METHODS
  Pre- and post-workshop, and three months follow-up questionnaires.
  
  
  METHODS
  Four locations in Far North Queensland.
  
  
  METHODS
  One hundred and forty-nine primary health care providers ranging from personal care workers to general practitioners (GPs).
  
  
  METHODS
  Fourteen workshops were conducted. These were tailored to local palliative case loads facilitated by a specialist palliative care team from the Mt Olivet Hospice Service. Workshop content consisted of introductory didactic teaching based on participant-nominated topics, small group case management discussions and a session devoted to psychosocial and counselling inputs.
  
  
  METHODS
  Cost, GP reach, evaluation of educational and clinical objectives.
  
  
  RESULTS
  Average cost per participant--excluding wages--was 271 dollars. Thirty-two per cent of local GPs attended the workshops and 93.2% of participants reported that the workshops had satisfied their educational learning objectives. Evaluation of GP clinical performance revealed significant improvements in confidence regarding palliative care knowledge and skill levels as well as the management of common palliative symptoms. Evaluation of other primary health care providers' clinical performance showed significant improvements in skills, management and rated knowledge.
  
  
  CONCLUSIONS
  This intervention is relatively inexpensive, has reasonable reach and is effective as measured by educational and clinical outcomes.
authors.affiliation: Brisbane South Palliative Care Service, QEII Hospital Health Service District, Brisbane, Queensland, Australia. elizabeth_reymond@health.qld.gov.au
authors.forename: Liz
authors.initials: L
authors.lastname: Reymond
authors.forename: Margaret
authors.initials: M
authors.lastname: Charles
authors.forename: Fiona
authors.initials: F
authors.lastname: Israel
authors.forename: Trish
authors.initials: T
authors.lastname: Read
authors.forename: Pat
authors.initials: P
authors.lastname: Treston
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004502:Education, Medical, Continuing / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017063:Outcome Assessment, Health Care; D010166:Palliative Care / Q000458:organization & administration*; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D011364:Professional Practice / Q000458:organization & administration*; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation; D011793:Queensland; D019035:Rural Health Services / Q000458:organization & administration*