{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:40:04Z","timestamp":1765827604533,"version":"build-2065373602"},"reference-count":25,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2883,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,18]]},"abstract":"<jats:p>Benefits of case conferencing for people with palliative care needs between a general practitioner, the person and other key participants include improving communication, advance care planning, coordination of care, clarifying goals of care and support for patient, families and carers. Despite a growing evidence base for the benefits, the uptake of case conferencing has been limited in South Australia. The aim of this study is to explore the beliefs and practice of South Australian general practitioners towards case conferencing for people with palliative care needs. Using an online survey, participants were asked about demographics, attitudes towards case conferencing and details about their most recent case conference for a person with palliative care needs. Responses were received from 134 general practitioners (response rate 11%). In total, 80% valued case conferencing for people with palliative care needs; however, &amp;lt;25% had been involved in case conferencing in the previous 2\u00a0years. The major barrier was time to organise and coordinate case conferences. Enablers included general practitioner willingness or interest, strong relationship with patient, specialist palliative care involvement and assistance with organisation. Despite GPs\u2019 beliefs of the benefits of case conferencing, the barriers remain significant. Enabling case conferencing will require support for organisation of case conferences and review of Medicare Benefits Schedule criteria for reimbursement.<\/jats:p>","DOI":"10.1071\/py16001","type":"journal-article","created":{"date-parts":[[2017,9,26]],"date-time":"2017-09-26T00:54:29Z","timestamp":1506387269000},"page":"458-463","source":"Crossref","is-referenced-by-count":11,"title":["Case conferencing for palliative care patients \u2013 a survey of South Australian general practitioners"],"prefix":"10.1071","volume":"23","author":[{"given":"Timothy H. M.","family":"To","sequence":"first","affiliation":[{"name":"ASouthern Adelaide Palliative Services, Department of Rehabilitation, Aged Care and Palliative Care, Repatriation General Hospital, Daws Road, Daw Park, SA 5041, Australia."},{"name":"BDiscipline of Medicine, College of Medicine & Public Health, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia."},{"name":"HCorresponding author. Email: timothy.to@sa.gov.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Tait","sequence":"additional","affiliation":[{"name":"ASouthern Adelaide Palliative Services, Department of Rehabilitation, Aged Care and Palliative Care, Repatriation General Hospital, Daws Road, Daw Park, SA 5041, Australia."},{"name":"CDiscipline of Palliative and Supportive Services, College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deidre D.","family":"Morgan","sequence":"additional","affiliation":[{"name":"CDiscipline of Palliative and Supportive Services, College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer J.","family":"Tieman","sequence":"additional","affiliation":[{"name":"CDiscipline of Palliative and Supportive Services, College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Crawford","sequence":"additional","affiliation":[{"name":"DDiscipline of Medicine, Faculty of Health and Medical Sciences, Adelaide Medical School, University of Adelaide, North Terrace, Adelaide, SA 5005, Australia."},{"name":"ENorthern Adelaide Palliative Care Service, Modbury Hospital, Smart Road, Modbury SA 5092, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Michelmore","sequence":"additional","affiliation":[{"name":"FClinical Planning Division, Palliative Care Clinical Network, Adelaide, SA 0000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Currow","sequence":"additional","affiliation":[{"name":"GImPaCCT (Improving Palliative Care through Clinical Trials and Research), Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Swetenham","sequence":"additional","affiliation":[{"name":"ASouthern Adelaide Palliative Services, Department of Rehabilitation, Aged Care and Palliative Care, Repatriation General Hospital, Daws Road, Daw Park, SA 5041, Australia."},{"name":"CDiscipline of Palliative and Supportive Services, College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2017,9,26]]},"reference":[{"issue":"3","key":"2025110218202794600_R1","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1016\/j.jpainsymman.2012.02.024","article-title":"Delivery strategies to optimize resource utilization and performance status for patients with advanced life-limiting illness: results from the \u2018palliative care trial\u2019","volume":"45","author":"Abernethy","year":"2013","journal-title":"Journal of Pain and Symptom Management"},{"issue":"9","key":"2025110218202794600_R2","doi-asserted-by":"publisher","first-page":"830","DOI":"10.1136\/thoraxjnl-2014-206583","article-title":"Palliative care for patients with advanced fibrotic lung disease: a randomised controlled phase II and feasibility trial of a community case conference intervention.","volume":"70","author":"Bajwah","year":"2015","journal-title":"Thorax"},{"issue":"3","key":"2025110218202794600_R3","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1177\/0269216316658833","article-title":"What is the evidence for conducting palliative care family meetings? A systematic review.","volume":"31","author":"Cahill","year":"2017","journal-title":"Palliative Medicine"},{"issue":"3","key":"2025110218202794600_R4","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1191\/0269216304pm873oa","article-title":"Specialist palliative care needs of whole populations: a feasibility study using a novel approach.","volume":"18","author":"Currow","year":"2004","journal-title":"Palliative Medicine"},{"issue":"1","key":"2025110218202794600_R5","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1071\/AH10984","article-title":"Palliative care case conferencing involving general practice: an argument for a facilitated standard process.","volume":"36","author":"Davison","year":"2012","journal-title":"Australian Health Review"},{"key":"2025110218202794600_R6","unstructured":"Department of Health (2016a) Multidisciplinary case conferences. Available at http:\/\/www.health.gov.au\/internet\/main\/publishing.nsf\/Content\/mbsprimarycare-caseconf-factsheet.htm [Verified 24 September 2016]"},{"key":"2025110218202794600_R7","unstructured":"Department of Health (2016b) Residential Aged Care Palliative Approach Toolkit. Available at https:\/\/www.caresearch.com.au\/caresearch\/tabid\/3629\/Default.aspx [Verified 27 September 2016]"},{"key":"2025110218202794600_R8","unstructured":"Department of Health (2016c) Medicare Item Reports. Available at http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/mbs_item.jsp [Verified 26 September 2016]"},{"key":"2025110218202794600_R9","doi-asserted-by":"publisher","first-page":"156","DOI":"10.3322\/caac.21385","article-title":"The primary care provider (PCP)\u2013cancer specialist relationship: a systematic review and mixed-methods meta-synthesis.","volume":"67","author":"Dossett","year":"2017","journal-title":"CA: a Cancer Journal for Clinicians"},{"issue":"1","key":"2025110218202794600_R10","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1007\/s00520-012-1491-y","article-title":"Effectiveness of using clinical guidelines for conducting palliative care family meetings in Japan.","volume":"21","author":"Fukui","year":"2013","journal-title":"Supportive Care in Cancer"},{"key":"2025110218202794600_R11","unstructured":"Government of South Australia (2014) More home support for palliative care. Available at http:\/\/www.premier.sa.gov.au\/images\/news_release\/14_11Nov\/morehomesupportforpalliativecare.pdf [Verified 14 August 2016]"},{"issue":"12","key":"2025110218202794600_R12","first-page":"973","article-title":"Uptake of Medicare chronic disease management incentives \u2013 a study into service providers\u2019 perspectives.","volume":"41","author":"Holden","year":"2012","journal-title":"Australian Family Physician"},{"issue":"1","key":"2025110218202794600_R13","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/s12904-016-0157-9","article-title":"Case conference primary\u2013secondary care planning at end of life can reduce the cost of hospitalisations.","volume":"15","author":"Hollingworth","year":"2016","journal-title":"BMC Palliative Care"},{"key":"2025110218202794600_R14","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1186\/1472-6963-14-136","article-title":"Elements of effective palliative care models: a rapid review.","volume":"14","author":"Luckett","year":"2014","journal-title":"BMC Health Services Research"},{"issue":"5","key":"2025110218202794600_R15","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1179\/096992607X217967","article-title":"GAPS revisited: follow up evaluation of an Australian rural palliative care service.","volume":"15","author":"Masso","year":"2007","journal-title":"Progress in Palliative Care"},{"issue":"2","key":"2025110218202794600_R16","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5694\/j.1326-5377.2002.tb04680.x","article-title":"General practitioner attitudes to case conferences: how can we increase participation and effectiveness?","volume":"177","author":"Mitchell","year":"2002","journal-title":"The Medical Journal of Australia"},{"issue":"5","key":"2025110218202794600_R17","first-page":"389","article-title":"General practitioner, specialist providers case conferences in palliative care \u2013 lessons learned from 56 case conferences.","volume":"34","author":"Mitchell","year":"2005","journal-title":"Australian Family Physician"},{"issue":"8","key":"2025110218202794600_R18","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1177\/0269216308096721","article-title":"Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003).","volume":"22","author":"Mitchell","year":"2008","journal-title":"Palliative Medicine"},{"key":"2025110218202794600_R19","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/1472-684X-13-24","article-title":"Case conferences between general practitioners and specialist teams to plan end of life care of people with end stage heart failure and lung disease: an exploratory pilot study.","volume":"13","author":"Mitchell","year":"2014","journal-title":"BMC Palliative Care"},{"issue":"4","key":"2025110218202794600_R20","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1071\/PY14172","article-title":"Systematic review of integrated models of health care delivered at the primary-secondary interface: how effective is it and what determines effectiveness?","volume":"21","author":"Mitchell","year":"2015","journal-title":"Australian Journal of Primary Health"},{"issue":"2","key":"2025110218202794600_R21","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1071\/AH070231","article-title":"The role of practice nurses in coordinated care of people with chronic and complex conditions.","volume":"31","author":"Patterson","year":"2007","journal-title":"Australian Health Review"},{"issue":"11","key":"2025110218202794600_R22","first-page":"961","article-title":"Promoting patient centred palliative care through case conferencing.","volume":"36","author":"Shelby-James","year":"2007","journal-title":"Australian Family Physician"},{"issue":"8","key":"2025110218202794600_R23","first-page":"608","article-title":"Case conferences in palliative care \u2013 a substudy of a cluster randomised controlled trial.","volume":"41","author":"Shelby-James","year":"2012","journal-title":"Australian Family Physician"},{"issue":"8","key":"2025110218202794600_R24","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1177\/1049909115594353","article-title":"A systematic review of family meeting tools in palliative and intensive care settings.","volume":"33","author":"Singer","year":"2016","journal-title":"The American Journal of Hospice & Palliative Care"},{"issue":"1","key":"2025110218202794600_R25","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1179\/1743291X13Y.0000000069","article-title":"What general practitioners said about the palliative care case conference in residential aged care: an Australian perspective. Part 2.","volume":"23","author":"Tuckett","year":"2015","journal-title":"Progress in Palliative Care"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/23\/5\/458\/841752\/py16001.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/23\/5\/458\/841752\/py16001.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T23:20:34Z","timestamp":1762125634000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/23\/5\/458\/106456\/Case-conferencing-for-palliative-care-patients-a"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,26]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,10,18]]}},"URL":"https:\/\/doi.org\/10.1071\/py16001","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"subject":[],"published":{"date-parts":[[2017,9,26]]}}}