@article {Burge1989, author = {F Burge and P McIntyre and P Twohig and I Cummings and D Kaufman and G Frager and A Pollett}, title = {Palliative care by family physicians in the 1990s. Resilience amid reform.}, volume = {47}, number = {10}, pages = {1989--1995}, year = {2001}, publisher = {The College of Family Physicians of Canada}, abstract = {OBJECTIVE To explore issues family physicians face in providing community-based palliative care to their patients in the context of a changing health care system. DESIGN Focus groups. SETTING Small (\< 10,000 population), medium-sized (10,000 to 50,000), and large (\> 50,000) communities in Nova Scotia. PARTICIPANTS Twenty-five men and women physicians with varying years of practice experience in both solo and group practices. METHOD A semistructured approach was used, asking physicians to reflect on recent palliative care experiences in order to explore issues of care. MAIN FINDINGS Five themes emerged from the discussions: resources needed, availability of family support, time and money supporting physicians{\textquoteright} activities, symptom control for patients, and physicians{\textquoteright} emotional reactions to caring for dying patients. CONCLUSION With downsizing of hospitals and greater emphasis on community-based care, the issues identified in this study will need attention, particularly in designing an integrated service delivery model for palliative care.}, issn = {0008-350X}, URL = {https://www.cfp.ca/content/47/10/1989}, eprint = {https://www.cfp.ca/content/47/10/1989.full.pdf}, journal = {Canadian Family Physician} }