Skip to main content

Table 3 Barriers and facilitators for collaboration between palliative care and geriatric medicine

From: A qualitative exploration of the collaborative working between palliative care and geriatric medicine: Barriers and facilitators from a European perspective

  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