title: General practitioners' perceptions of the barriers and solutions to good-quality palliative care in dementia.
abstract: The general practitioner (GP) is in a pivotal position to initiate and adapt care for their patients living with dementia. This study aimed to elicit GPs' perceptions of the potential barriers and solutions to the provision of good-quality palliative care in dementia in their practices. A postal survey of GPs across Northern Ireland was conducted with open-ended items soliciting for barriers in their practices and possible solutions; 40.6% (138/340) were returned completed. Barriers to palliative care in dementia were perceived to be a dementia knowledge deficit for healthcare staff and the public, a resource shortfall within the GP practice and community, poor team coordination alongside inappropriate dementia care provision, and disagreements from and within families. These findings have significant implications for educators and clinicians as enhanced dementia education and training were highlighted as a strong agenda for GPs with the suggestions of dementia awareness programmes for the public.
authors.affiliation: Queen's University Belfast, Northern Ireland, UK.
authors.forename: Gillian
authors.initials: G
authors.lastname: Carter
authors.affiliation: VU University Medical Center Amsterdam, The Netherlands.
authors.forename: Jenny T
authors.initials: JT
authors.lastname: van der Steen
authors.affiliation: Queen's University Belfast, Northern Ireland, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Galway
authors.affiliation: Queen's University Belfast, Northern Ireland, UK.
authors.forename: Kevin
authors.initials: K
authors.lastname: Brazil
keywords: dementia; family carers; general practitioners; palliative care; perceptions