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dc.contributor.author | Llobera Cànaves, Joan | |
dc.contributor.author | Sansó, Noemí | |
dc.contributor.author | Ruiz, Amador | |
dc.contributor.author | Llagostera Pagès, Mercè | |
dc.contributor.author | Serratusell Sabater, Estefania | |
dc.contributor.author | Serrano Jurado, Carlos | |
dc.contributor.author | Martin Rosello, Maria Luisa | |
dc.contributor.author | Benito, Enric | |
dc.contributor.author | Castaño-Riera, Eusebi | |
dc.contributor.author | Leiva Rus, Alfonso | |
dc.date.accessioned | 2024-07-11T09:10:36Z | |
dc.date.available | 2024-07-11T09:10:36Z | |
dc.date.issued | 2017-07-10 | |
dc.identifier.citation | Llobera Canaves J, Sansó N, Ruiz A, Llagostera M, Serratusell Sabater E, Serrano C, et al. Strengthening primary health care teams with palliative care leaders: protocol for a cluster randomized clinical trial. BMC Palliat Care. 2017 Jul 10;17:4. | en |
dc.identifier.issn | 1472-684X | |
dc.identifier.other | http://hdl.handle.net/20.500.13003/9749 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/20439 | |
dc.description.abstract | Background: The objective of the Balearic Islands Palliative Care (PC) Program is to improve the quality of PC through a shared model consisting of primary health care professionals, home-based PC teams, and PC units in hospitals. According to the World Health Organization (WHO), patients with advanced cancer and other terminal diseases benefit from early identification and proactive PC. We will evaluate the effectiveness of an intervention in which a PC leader is established in the primary health care center, and assess the effect of this intervention on the early identification of patients in need of PC, the efficient use of health care services, and direct health care costs. Methods: Design: A two-arm cluster randomized clinical trial of 30 Primary Health Care Centers (PHCC) in Mallorca (Spain), in which each center was randomized to an intervention arm or a usual care arm. We expect that the number of patients identified as suitable for PC (including non-oncological PC) is at least 5% greater in the intervention arm. Sample size: A total of 4640 deceased patients. Outcomes will be assessed by a blinded external review of the electronic records. Interventions: General practitioners (GPs) and nurse leaders in PC for each PHCC will be appointed. These leaders will help promote PC training of colleagues, improve symptom management and psychological support of patients, and evaluate the complexity of individual cases so that these cases receive assistance from PC home-based teams. Measurements: Early identification (>90 days before death), evaluation of case complexity, level of case complexity (with referral to a home-based PC team), use and cost of hospital and primary care services, and quality of life during the last month of life (>= 2 emergency room visits, >= 2 hospital admissions, >= 14 days of hospitalization). Discusion: PC leaders in primary care teams will improve the early identification of patients eligible for PC. This initiative could improve the quality of end-of-life care and utilization of hospital resources. | en |
dc.description.sponsorship | This study was funded by the Ministry of Economy and Competitiveness, Carlos III Institute; grants PI14/01336. We also received support from the Health Promotion and Preventive Activities-Primary Health Care Network, sustained by the Ministry of Health ISCIII-RETIC awards RD12/0005/0011 co - financed with European Union ERDF funds. The funders had no role in the study design, data collection, analysis, decision to publish or preparation of the manuscript. | es_ES |
dc.language.iso | eng | en |
dc.publisher | BioMed Central (BMC) | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Palliative care | |
dc.subject | End of life | |
dc.subject | Integrated care | |
dc.subject | Public health care | |
dc.subject | Program development | |
dc.subject | Outcome assessment | |
dc.subject | Primary care | |
dc.subject.mesh | Randomized Controlled Trials as Topic | * |
dc.subject.mesh | Cluster Analysis | * |
dc.subject.mesh | General Practitioners | * |
dc.subject.mesh | Patient Care Team | * |
dc.subject.mesh | Spain | * |
dc.subject.mesh | Humans | * |
dc.subject.mesh | Leadership | * |
dc.subject.mesh | Nurses | * |
dc.subject.mesh | Primary Health Care | * |
dc.subject.mesh | Surveys and Questionnaires | * |
dc.subject.mesh | Palliative Care | * |
dc.subject.mesh | Program Development | * |
dc.title | Strengthening primary health care teams with palliative care leaders: protocol for a cluster randomized clinical trial | en |
dc.type | research article | en |
dc.rights.license | Attribution 4.0 International | * |
dc.identifier.pubmedID | 28693520 | es_ES |
dc.format.volume | 17 | es_ES |
dc.format.page | 4 | es_ES |
dc.identifier.doi | 10.1186/s12904-017-0217-9 | |
dc.relation.publisherversion | https://dx.doi.org/10.1186/s12904-017-0217-9 | en |
dc.identifier.journal | BMC Palliative Care | es_ES |
dc.rights.accessRights | open access | en |
dc.subject.decs | Enfermeras y Enfermeros | * |
dc.subject.decs | Liderazgo | * |
dc.subject.decs | Desarrollo de Programa | * |
dc.subject.decs | Grupo de Atención al Paciente | * |
dc.subject.decs | Humanos | * |
dc.subject.decs | Encuestas y Cuestionarios | * |
dc.subject.decs | Cuidados Paliativos | * |
dc.subject.decs | Atención Primaria de Salud | * |
dc.subject.decs | Ensayos Clínicos Controlados Aleatorios como Asunto | * |
dc.subject.decs | España | * |
dc.subject.decs | Análisis por Conglomerados | * |
dc.subject.decs | Médicos Generales | * |
dc.identifier.scopus | 2-s2.0-85022207931 | |
dc.identifier.wos | 405806600001 | |
dc.identifier.pui | L617231426 |
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