title: General practitioners' attitudes to palliative care: A Western Australian rural perspective.
abstract: BACKGROUND
  People with a terminal illness and their families who live in rural or remote areas of Australia face difficulties in accessing palliative care services as a result of physical isolation. This leads to rural general practitioners (GPs) carrying the burden of care, which is often exacerbated by a lack of support staff.
  
  
  OBJECTIVE
  This research addressed the following questions: What are GPs' attitudes to palliative care in a rural center of Western Australia? What factors contribute to GPs' attitudes to palliative care in a rural center of Western Australia? What are the perceived barriers to the provision of palliative care in a rural center of Western Australia?
  
  
  METHODS
  A qualitative in-depth research design was used for this study due to the exploratory nature of the research. A model of attitudes that considers an attitude as a summary evaluation of an issue based on: cognitive information, (thoughts and beliefs), affective or emotional information, and information concerning behavior, was used.
  
  
  METHODS
  Participants were 10 registered GPs located within the Greater Bunbury Division of General Practice in Western Australia.
  
  
  RESULTS
  Six themes emerged from the research: maintaining patients' quality of life, providing continuity of care, experiencing emotional issues, collaborating with a multidisciplinary team, acknowledging the need for education and training, and dealing with the wider context.
  
  
  CONCLUSIONS
  Education and training for rural GPs needs to be relevant to the local context and needs to focus on emotions and beliefs.
authors.affiliation: School of Psychology, Edith Cowan University, Western Australia. m.o_connor@ecu.edu.au
authors.forename: Moira
authors.initials: M
authors.lastname: O'Connor
authors.forename: Richelle
authors.initials: R
authors.lastname: Lee-Steere
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010821:Physicians, Family / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D012923:Social Class; D013727:Terminal Care; D014904:Western Australia