Identification of competencies needed by primary health care physicians to deliver palliative care to patients with heart failure
DOI:
https://doi.org/10.5712/rbmfc17(44)3194Keywords:
Palliative care, Heart failure, Medical education, Primary health care.Abstract
Introduction: Heart failure (HF) has an increasing prevalence in the world and there is already a greater proportion of patients with this disease in need of palliative care (PC) in relation to other pathologies, such as cancer. Despite this, there is an inequity in the provision and recognition of the need for PC in individuals with HF. The identification of the necessary competencies for the physician who will offer this care is essential for improving the care provided to these patients. Objective: To identify, through a literature review, the necessary competencies to primary care physicians to provide care to patients with heart failure. Methods: The acronym SPIDER was used to construct the question and, based on it, we sought to identify the necessary skills for primary health care physicians to work in PC in HF. The bases searched were PubMed, SciELO, Lilacs, and Medline, using descriptors and their registered variations, guided by the question. In the relevant primary studies identified by the search strategy, more eligible studies were also searched in their cited articles. Results: Of 127 identified studies, 8 were selected for data extraction and evaluated by the thematic synthesis methodology. The most prevalent competence in the selected studies was to offer PC to patients with advanced stage HF. Other competencies pointed out were coordinating care and offering multidisciplinary care to patients with HF. Conclusions: This review evidenced the knowledge and skills required in the training of the PHC physician to achieve the main competencies in the promotion of PC to patients with HF.
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