Daniel Munday

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OBJECTIVE To explore the experiences and perceptions of general practitioners and community nurses in discussing preferences for place of death with terminally ill patients. DESIGN Qualitative study using semistructured interviews and thematic analysis. PARTICIPANTS 17 general practitioners and 19 nurses (16 district nurses, three clinical nurse(More)
BACKGROUND Palliative care is an important, complex aspect of primary care, requiring a multidisciplinary approach. The Gold Standards Framework (GSF), a programme used by over 3,000 UK practices, aims to facilitate high-quality palliative care through the introduction of systematic clinical and organizational processes. Quality payments for palliative care(More)
BACKGROUND Facilitation is the process of providing support to individuals or groups to achieve beneficial change. It is intrinsic to the Gold Standards Framework (GSF) for palliative care, a programme introduced widely in UK general practices. OBJECTIVES To explore how GSF facilitators fulfil their role and the impact of the facilitators' backgrounds and(More)
OBJECTIVES The high volume of emergency admissions to hospital is a challenge for health systems internationally. Patients with lung cancer and chronic obstructive pulmonary disease (COPD) are frequently admitted to hospital as emergency cases. While the frequency of emergency admission has been investigated, few studies report patient experiences,(More)
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