title: Rural general practitioner perspectives of the needs of Māori patients requiring palliative care.
abstract: OBJECTIVE
  We aimed to identify rural general practitioners perspectives of the needs of Māori patients receiving palliative care and to discover what actions the general practitioners had undertaken to meet these needs.
  
  
  METHODS
  This was a cross sectional postal survey of rural general practitioners. A questionnaire was developed which included a number of questions relevant to cultural needs when providing palliative care to Māori.
  
  
  RESULTS
  186/440 rural general practitioners responded to the survey. 52% said that they had no Māori with palliative care needs in the last 12 months, 23% had one patient and 25% had looked after 2 or more. An estimated 126/204 (62%) Māori patients had died at home. The greatest need identified by rural general practitioners when dealing with Māori patients requiring palliative care appears to be for good communication which they saw as especially important when a large family/whānau are likely to be involved. Other notable concerns were the apparent gaps in some areas for home care and the demand for more Māori nurses to be available in rural areas.
  
  
  CONCLUSIONS
  It appeared that there was great variation in the demand for palliative care services for Māori. Some rural general practitioners rarely encounter Māori patients whilst for others caring for Māori who are in need of palliative care is an important part of their practice. There is some demand from general practice for cultural competency training and support from Māori providers and Māori services in District Health Boards. Further research in this area would be valuable.
authors.affiliation: Waikato Clinical School, University of Auckland, Hamilton, New Zealand. LawrensR@waikatodhb.govt.nz
authors.forename: Ross
authors.initials: R
authors.lastname: Lawrenson
authors.forename: Dot
authors.initials: D
authors.lastname: Smyth
authors.forename: Erena
authors.initials: E
authors.lastname: Kara
authors.forename: Rachel
authors.initials: R
authors.lastname: Thomson
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D010166:Palliative Care; D010821:Physicians, Family / Q000600:supply & distribution*; D019035:Rural Health Services; D012424:Rural Population; D011795:Surveys and Questionnaires; D000078329:Workforce