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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