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  • Primary care providers (PCPs) have a life-long trusting and therapeutic relationship with patients, which allows for high-quality care throughout disease trajectory. Most patients visit a PCP before ever seeing a specialist, placing the PCP in prime position to screen for palliative care needs. Screening patients for palliative care early in the disease process produces the best outcomes and most cost-effective care at end of life.
  • PCPs often do not screen for palliative care needs because they lack knowledge and have discomfort with disease prognostication. Evidence-based tools are needed in the primary care setting to improve knowledge and comfort and increase palliative care screening rates and referrals.
  • This case study used an evidence-based online education intervention that improved PCP knowledge and comfort and increased palliative care screening rates and referrals. • Building rapport and relationships with stakeholders is essential for buy-in. Collaborating with stakeholders and understanding internal and external motivators help tailor an intervention that leads to successful change.
  • Finally, behavior change is achieved with a passionate and motivated leader.


Primary care (Medicine); Palliative treatment--Case studies; Medical screening

Publication Information

NRS 597 – Practice Improvement Project

Copyright for this work is retained by the author.

Document Type

Doctoral Project