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Accessing medicines at end-of-life: an evaluation of service provision

Accessing medicines at end-of-life: a multi-stakeholder, mixed method evaluation of service provision

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN12762104
Enrollment
350
Registered
2018-02-02
Start date
2018-06-01
Completion date
Unknown
Last updated
2023-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

End-of-life care Not Applicable End-of-life care

Interventions

Phase 1: This phase consists of a systematic review of research evaluating medicines access experiences, influences and outcomes within EoL service delivery models. Phase 2: This phas

Sponsors

University of Southampton
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Phase 2: 1. GPs 2. Community-based palliative care clinical nurse specialists 3. Community nurses 4. Community pharmacists Phase 3: Purposively selected 3 service delivery models in the north of England and 3 in the south, using a sampling frame derived from Phase 2 respondent EoL service models and informed by logic models. Phase 5: Purposive and snowball sampling will be used to identify national experts, including EoL policy, service delivery, professional, and education leads at the Department of Health, NHS England, Health Education England, Royal College of Nursing, Royal College of General Practitioners, Royal Pharmaceutical Society, Health Education England workforce development leads, Clinical Commissioning Group leads for EoL, EoL and Non-Medical Prescribing programme leads from HEIs, charity representatives e.g. Marie Curie, Macmillan Cancer Care, pharmaceutical wholesaler representatives, and key EoL health care professionals. Our PPI co-applicant and Advisory Group PPI members will represent EoL informal carer perspectives.

Exclusion criteria

Exclusion criteria: Those who do not fit the inclusion criteria.

Design outcomes

Primary

MeasureTime frame
1. Identification of gaps in service provision and deficits in care experienced by patients and carers is assessed using a systematic review of literature (Phase 1), questionnaire survey (Phase 2), patient logs, patient and health care professional interviews, data on service use from patient records within evaluative case studies (Phase 3), and interviews with community pharmacists and pharmaceutical wholesalers and distributors 2. Models of good practice of EoL in service delivery is assessed using a systematic review of literature (Phase 1), questionnaire survey (Phase 2), patient logs, patient and health care professional interviews, data on service use from patient records within evaluative case studies (Phase 3), and interviews with community pharmacists and pharmaceutical wholesalers and distributors

Secondary

MeasureTime frame
There are no secondary outcome measures.

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 12, 2026