Severe progressive conditions at the end of life
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: General Practices: according to the principles of Theoretical Sampling, general practices will be selected along different contrasting lines (e.g. urban - rural; single - joint practice) Patients: patients in general practice in need of palliative care, who are able to give informed consent and whose general condition will allow for an interview Relatives: patients' relatives who are able to give informed consent
Exclusion criteria
Exclusion criteria: Patients whose general condition does not allow for an interview
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful integration of primary palliative care in general practice (organisational ethnographic field research following the theoretical model of the "Normalization Process Theory"; NoMAD (assessment Instrument for the Evaluation of the implementation of complex interventions)) | — |
Secondary
| Measure | Time frame |
|---|---|
| Place of death; hospital admissions; prescriptions and therapies (clinical routine data from medical charts); physical, psychological and emotional well-being, as well as quality of treatments and care coordination (Palliative Outcome Scale POS; Quality of Dying and Death Questionnaire; Quality of End of Life Care Questionnaire; semi-structured interviews with patients and relatives); details in Table 2, p. 15 in the attached study protocol | — |
Countries
Germany
Contacts
Medizinische Hochschule Hannover