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Table 4 GPs’ and DNs’ reasons for not involving services and facilities (absolute numbers and %*)

From: Experiences of Dutch general practitioners and district nurses with involving care services and facilities in palliative care: a mixed methods study

Service/facilitya N Not needed Not my job Don’t know them/where to find them Unavailable Bad experiences Other/no reason specified
Clinical pain specialist
 GP 27 15 0 1 0 6 5
 DN 93 37 (40%) 44 (47%) 6 (6%) 2 0 4
Case manager for palliative care
 GP 34 8 0 5 16 1 4
 DN 116 56 (48%) 12 (10%) 10 (9%) 18 (16%) 1 19 (16%)
Spiritual caregiver
 GP 54 16 (30%) 23 (43%) 9 (17%) 4 (7%) 0 2
 DN 51 23 (45%) 7 (14%) 3 (6%) 3 (6%) 1 14 (27%)
Psychologist/psychiatrist
 GP 52 39 (75%) 0 1 2 1 9 (17%)
 DN 123 57 (46%) 35 (28%) 4 2 1 24 (20%)
Social welfare
 GP 61 40 (66%) 0 2 1 4 (7%) 14 (23%)
 DN 103 62 (60%) 15 (15%) 1 3 1 21 (20%)
  1. *Percentage shown if total N > 50; boldfaced values show the most often mentioned reason per service for both professions
  2. aWe excluded palliative home care teams, palliative care consultation services, hospices, and volunteers in palliative care as the vast majority of GPs and DNs said that they used these services and facilities sometimes or often