Your browser doesn't support javascript.
loading
A Systematic Approach to Assessing and Addressing Palliative Care Needs in an Outpatient Population.
Bischoff, Kara E; Vanegas, Gabriela; O'Riordan, David L; Sumser, Bridget; Long, Judy; Lin, Jessica; Berkey, Ann R; Kobayashi, Edward; Zapata, Carly; Rabow, Michael W; Pantilat, Steven Z.
Afiliação
  • Bischoff KE; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA. Electronic address: kara.bischoff@ucsf.edu.
  • Vanegas G; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • O'Riordan DL; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • Sumser B; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • Long J; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • Lin J; University Medical Partners (J.L.), Stanford Healthcare, Stanford, California, USA.
  • Berkey AR; The Berkey Group (A.R.B.), San Francisco, California, USA.
  • Kobayashi E; Department of Family and Community Medicine (E.K.), University of California, San Francisco, San Francisco, California, USA.
  • Zapata C; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • Rabow MW; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
  • Pantilat SZ; Division of Palliative Medicine, Department of Medicine (K.E.B., G.V., D.L.O-R., B.S., J.L., C.Z., M.W.R., S.Z.P.), University of California, San Francisco, California, USA.
J Pain Symptom Manage ; 66(3): 270-280.e8, 2023 09.
Article em En | MEDLINE | ID: mdl-37380147
ABSTRACT
CONTEXT/

OBJECTIVES:

A critical frontier for palliative medicine is to develop systems to routinely and equitably address the palliative care (PC) needs of seriously ill populations.

METHODS:

An automated screen identified Medicare primary care patients who had serious illness based on diagnosis codes and utilization patterns. A stepped-wedge design was used to evaluate a six-month intervention through which a healthcare navigator assessed these seriously ill patients and their care partners for PC needs in the domains of 1) physical symptoms, 2) emotional distress, 3) practical concerns, and 4) advance care planning (ACP) via telephone surveys. Identified needs were addressed with tailored PC interventions.

RESULTS:

A total of 292/2175 (13.4%) patients screened positive for serious illness. A total of 145 completed an intervention phase; 83 completed a control phase. Severe physical symptoms were identified in 27.6%, emotional distress in 57.2%, practical concerns in 37.2%, and ACP needs in 56.6%. Twenty-five intervention patients (17.2%) were referred to specialty PC compared to six control patients (7.2%). Prevalence of ACP notes increased 45.5%-71.7% (p = 0.001) during the intervention and remained stable during the control phase. Quality of life remained stable during the intervention and declined 7.4/10-6.5/10 (P =0.04) during the control phase.

CONCLUSION:

Through an innovative program, patients with serious illness were identified from a primary care population, assessed for PC needs, and offered specific services to meet those needs. While some patients were appropriate for specialty PC, even more needs were addressed without specialty PC. The program resulted in increased ACP and preserved quality of life.
Assuntos
Palavras-chave
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Planejamento Antecipado de Cuidados / Enfermagem de Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Risk_factors_studies Limite: Aged / Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Planejamento Antecipado de Cuidados / Enfermagem de Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Risk_factors_studies Limite: Aged / Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article