COPD, CHF and cancer Engels: Palliative care, general practitioner, coordination, proactive care, identification of patients, RCT Nederlands: palliatieve zorg, huisarts, coördinatie, proactieve zorg, identificatie van patiënten, RCT
Conditions
Interventions
The intervention for the GPs in the experimental condition consists of three consecutive parts:
1. A five hours training in early identification of the palliative population and proactive care planni
B. Thinking explicitly about potential problems for each domain that could be expected in the (near) future
C. Foretelling the most likely dying scenario.
2. A single coaching session for GPs with a physician specialized in palliative care. Each individual coaching session focuses on an identified patient
3. Two peer group sessions of the participating intervention GPs, eight and ten months after the initial training session. In these sessions the main focus is on patient-GP communication techniques re
Sponsors
UMC St Radboud
Department of pain and palliative care
Eligibility
Inclusion criteria
Inclusion criteria: GPs in the region of two comprehensive cancer centers in the South-East of the Netherlands (IKO en IKZ). GPs will be stratified for degree of urbanization and working hours of the GP (part-time or full-time) and will be randomized by an independent statistician into the intervention or the control group. GPs working together in the same practice will be placed in the same group so that contamination is minimized.
Exclusion criteria
Exclusion criteria: GPs will be excluded if they are consultant in palliative care or if they are locum.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The number of identified patients who benefit of palliative care; 2. Place of death; 3. Number of transitions; 4. Out of hours contact. | — |
Secondary
| Measure | Time frame |
|---|---|
| GPs satisfaction about delivered palliative care. | — |
Contacts
Public ContactB. Thoonsen
Anesthesiologie/Palliatieve zorg, Postbus 9101
Outcome results
None listed