What tools are available to identify patients with palliative care needs in primary care: a systematic literature review and survey of European practice.
BMJ Support Palliat Care
; 3(4): 444-51, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24950525
ABSTRACT
BACKGROUND:
It can be difficult to identify when a palliative care approach should be started both in malignant, and particularly, in non-malignant disease, ideally to run alongside disease-modifying care. A structured method or tool may be useful to help general practitioners (GPs) identify patients for early palliative care and trigger assessment and care planning.AIMS:
To document what tools for identification of patients with palliative care needs are available in the published literature and to ascertain how GPs in Europe currently identify patients for palliative care.METHODS:
A systematic literature search using PubMed and Embase, and a questionnaire survey among key informants in 14 European countries requesting data on methods used to identify patients with palliative care needs.RESULTS:
The literature search identified four tools. The questionnaire survey identified a further three in current use and found that in current practice identification is largely based on a GP's own clinical judgement and information received from the hospital tools are rarely used.CONCLUSIONS:
Although several identification tools have been developed, none of these have been validated or widely implemented in Europe. Further collaborative international development, implementation and evaluation of such tools are recommended.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Atenção Primária à Saúde
/
Necessidades e Demandas de Serviços de Saúde
Tipo de estudo:
Qualitative_research
/
Systematic_reviews
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article