Barriers | Facilitators | |
---|---|---|
Clinical practice | - Lack of understanding and knowledge of the other discipline | - Cross-disciplinary work, e.g. inter-professional teams, multi-disciplinary team working, consultation/expert advice from the other discipline |
- Disciplinary identity | - Advance care planning | |
- Lack of communication between disciplines and settings | - The role of the GP providing generalist palliative care in the community setting | |
Education and training | - Lack of educational opportunities on palliative care or geriatric medicine within the other disciplines, and lack of shared trainings between the disciplines | - A mandatory internship within the other discipline |
- Palliative care and geriatric medicine perspectives are presented at each other’s conferences | ||
Strategic/policy level | - Non-existence of palliative care and/or geriatric medicine as specialty | - Defining core competences in palliative care for geriatricians and other health care professionals |
- Small number of academic chairs in both palliative care and geriatric medicine | - Strong leadership | |
- Organization and financing of health care | - Establishing taskforces, interest groups lobbying and working around themes that benefit both disciplines |