title: ["One cannot just look at the clock" - interviews with family doctors on ambulatory palliative care of tumour patients].
abstract: OBJECTIVE
  In the study "possibilities and limits of ambulatory palliative care" there was a survey with family doctors about their own subjective views of ambulatory palliative care. The different parameters of home care, the role of caring relatives as well as burdening and supporting factors for family doctors occupied the focus in these interviews.
  
  
  METHODS
  With the help of the results from 9 qualitative interviews, a questionnaire was compiled and sent by post to all family doctors within 50 km (N=427). For analysis questionnaires were available from N=89 family doctors. Statements about various areas of outpatient palliative work were collected with Likert scales and open questions.
  
  
  RESULTS
  The personal overloads of the care-giving relatives, the inadequate payment and their own time pressures for the family doctors were the main obstacles in home care of palliative patients. On the other hand the family doctors considered as supporting factors for an ambulatory care: a good pain and symptom management, a high satisfaction of the patients and a good teamwork between the caring service and other people taking part in the care.
  
  
  CONCLUSIONS
  In order to minimise the time overload of family doctors and to focus the psycho-social distress of the caring relatives the expansion of non-medical offers should be supported, e. g., ambulatory hospice services and consultative forms of care by psychologists and religious personnel.
authors.affiliation: Department für Psychische Gesundheit, Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig. heide.goetze@medizin.uni-leipzig.de
authors.forename: H
authors.initials: H
authors.lastname: Götze
authors.forename: A
authors.initials: A
authors.lastname: Perner
authors.forename: L
authors.initials: L
authors.lastname: Gansera
authors.forename: E
authors.initials: E
authors.lastname: Brähler
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000706:statistics & numerical data; D015984:Causality; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology* / Q000451:nursing; D010146:Pain / Q000453:epidemiology / Q000517:prevention & control; D010166:Palliative Care / Q000706:statistics & numerical data*; D010821:Physicians, Family / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D015995:Prevalence; D012307:Risk Factors; D016526:Workload / Q000706:statistics & numerical data*; D055815:Young Adult