Palliative Care, Primary Health Care
Conditions
Keywords
implementation, anticipatory care planning, symptom assessment, interdisciplinary collaboration
Brief summary
It is important to provide high quality palliative care to all patients with a non-curable and life-limiting condition. The Care Pathway for Primary Palliative Care (CPPPC) provides tools for health care professionals to help them delivering palliative care timely and accurately.This study investigates whether the implementation of the CPPPC really helps to improve patients' lifes.
Interventions
Early identification of palliative care patients, anticipatory care planning, systematic symptom assessment, interdisciplinary collaboration, rigorous follow-up of the functional status of the patient and giving attention to the informal care givers.
Sponsors
Study design
Eligibility
Inclusion criteria
* identified as a palliative care patient using the Surprise Question Would you, as a family doctor, be surprised if this patient would die in the next 12 months?. If the answer is 'no', the patient is eligible for the study.
Exclusion criteria
* not having signed the informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| percentage of deaths occurred in the hospital (of patients per family doctor/per research cluster) | 6 months | The hypothesis is that the CPPPC reduces the percentage of deaths occurred in the hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cost of health care consumption in the last year of life (of patients per family doctor/per research cluster) | 6 months | The hypothesis is that the CPPPC reduces the cost of health care consumption in the last year of life |
| consumption of antibiotics in the last year of life (of patients per family doctor/per research cluster) | 6 months | The hypothesis is that the CPPPC reduces the consumption of antibiotics in the last year of life |
| consumption of pain killers in the last year of life (of patients per family doctor/per research cluster) | 6 months | The hypothesis is that the CPPPC augments the consumption of pain killers in the last year of life |
| consumption of (invasive) diagnostic and therapeutic procedures in the last year of life (of patients per family doctor/per research cluster) | 6 months | The hypothesis is that the CPPPC reduces the consumption of (invasive) diagnostic and therapeutic procedures in the last year of life |
Countries
Belgium