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Palliative Medicine
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Attitudes of general practitioners in Bizkaia, Spain, towards the terminally ill patient

Alberto Lopez de Maturana

Galdakao Health Centre

Vicente Morago

Galdakao Health Centre

Encarnación San Emeterio

Galdakao Health Centre

Javier Gorostiza

Galdakao Health Centre

Adela Olaskoaga Arrate

Biscay Teaching Unit of Family Medicine

This paper reports the results of a survey of general practitioners in Biscay which investigated the types of narcotics used in the treatment of chronic malignant pain, the degree of their use and the difficulties encountered both in the use of narcotics and the general care of the terminally ill patient. We found that (1) 50% of the doctors surveyed used narcotics in the treatment of at least 60% of their patients with terminal disease; (2) morphine is the most frequently used narcotic, usually being given orally, and (3) those who completed the questionnaire showed themselves to be highly motivated when treating terminally ill patients. However, they considered that their motivation exceeded their level of competence and, according to the majority, collaboration between the different health services and the formation of interdisciplinary teams would be the best way to facilitate an increase in competence.

Key Words: morphine • pain • intractable • physicians • family • terminal care

Palliative Medicine, Vol. 7, No. 1, 39-45 (1993)
DOI: 10.1177/026921639300700107
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