The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
Death certification and doctors' dilemmas: a qualitative study of GPs' perspectives.
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McAllum Carol, St George Ian, White Gillian
Аннотация
BACKGROUND: Death certificate inaccuracies have implications for funding and planning public health services, health research and family settlements. Improved training has been identified as a way of reducing inaccuracies. Understanding the influences on certifying doctors should inform that training.
AIM: To explore what factors influence GPs as they complete death certificates.
DESIGN: Focus groups held by teleconference with 16 GPs.
SETTING: New Zealand general practice.
METHOD: Four teleconferenced focus groups were taped and transcribed. Transcripts were examined for emerging themes. Credibility, transferability and confirmability were underwritten by a clear audit trail.
RESULTS: Participants identified two factors that influenced death certification: clinical uncertainty and the family. Other themes provided an understanding of the personal and professional concerns for GPs.
CONCLUSION: Improving death certification accuracy is a complex issue and needs to take into consideration factors that influence certifiers.
AIM: To explore what factors influence GPs as they complete death certificates.
DESIGN: Focus groups held by teleconference with 16 GPs.
SETTING: New Zealand general practice.
METHOD: Four teleconferenced focus groups were taped and transcribed. Transcripts were examined for emerging themes. Credibility, transferability and confirmability were underwritten by a clear audit trail.
RESULTS: Participants identified two factors that influenced death certification: clinical uncertainty and the family. Other themes provided an understanding of the personal and professional concerns for GPs.
CONCLUSION: Improving death certification accuracy is a complex issue and needs to take into consideration factors that influence certifiers.