Abstract:hospitalizations. This approach was evaluated in a randomized experimental design study measuring its impact on health care utilization, functional changes in patients, and patient and caretaker
“…Randomized clinical trials comparing integrated multidisciplinary palliative care with existing regional services report improved satisfaction (grande et al 2000;Hughes et al 1992;kane et al 1984;Brumley et al 2007), improved symptom control (Rabow et al 2004), decreased use of acute care services ( Jordhoy et al 2000;zimmer et al 1985;Brumley et al 2007) and decreased cost (Raftery et al 1996;Brumley et al 2007) in the intervention arm. non-randomized studies draw similar conclusions (Bruera et al 1999).…”
Section: Other Findings From the Literaturementioning
confidence: 99%
“…non-randomized studies draw similar conclusions (Bruera et al 1999). Two of the randomized trials reporting a decrease in in-hospital deaths had physician home visits as part of the intervention (zimmer et al 1985;Jordhoy et al 2000). Other studies have also emphasized that physician home visits are crucial in providing home palliative care (Cherin et al 2004;Aabom et al 2005).…”
Section: Other Findings From the Literaturementioning
This study describes acute care hospital death, physician house calls and home care near the end of life among patients who died of cancer and the factors that are associated with these events and services. It is a population-based retrospective study that uses linked administrative healthcare data. The cohort includes all patients who died of cancer between 2000 and 2004 in Ontario, Canada.Fifty-five per cent of patients died in acute care hospital, 68% received home care in the last 6 months of life and 24% received at least one physician house call in the last 2 weeks of life. Increased age was associated with a decreased likelihood of each event or service. women were less likely to die in acute care and more likely to receive home care. Residents in low-income neighbourhoods were less likely to receive house calls or home care. Patients who received home care or house calls were less likely to die in acute care.Our observations add to those in the literature, suggesting a need to increase the use of supportive care services at the end of life in hopes of decreasing the need for acute care. They also serve as a baseline for future comparison, which is of particular interest since new government policies directed at end-of-life care were recently introduced.
“…Randomized clinical trials comparing integrated multidisciplinary palliative care with existing regional services report improved satisfaction (grande et al 2000;Hughes et al 1992;kane et al 1984;Brumley et al 2007), improved symptom control (Rabow et al 2004), decreased use of acute care services ( Jordhoy et al 2000;zimmer et al 1985;Brumley et al 2007) and decreased cost (Raftery et al 1996;Brumley et al 2007) in the intervention arm. non-randomized studies draw similar conclusions (Bruera et al 1999).…”
Section: Other Findings From the Literaturementioning
confidence: 99%
“…non-randomized studies draw similar conclusions (Bruera et al 1999). Two of the randomized trials reporting a decrease in in-hospital deaths had physician home visits as part of the intervention (zimmer et al 1985;Jordhoy et al 2000). Other studies have also emphasized that physician home visits are crucial in providing home palliative care (Cherin et al 2004;Aabom et al 2005).…”
Section: Other Findings From the Literaturementioning
This study describes acute care hospital death, physician house calls and home care near the end of life among patients who died of cancer and the factors that are associated with these events and services. It is a population-based retrospective study that uses linked administrative healthcare data. The cohort includes all patients who died of cancer between 2000 and 2004 in Ontario, Canada.Fifty-five per cent of patients died in acute care hospital, 68% received home care in the last 6 months of life and 24% received at least one physician house call in the last 2 weeks of life. Increased age was associated with a decreased likelihood of each event or service. women were less likely to die in acute care and more likely to receive home care. Residents in low-income neighbourhoods were less likely to receive house calls or home care. Patients who received home care or house calls were less likely to die in acute care.Our observations add to those in the literature, suggesting a need to increase the use of supportive care services at the end of life in hopes of decreasing the need for acute care. They also serve as a baseline for future comparison, which is of particular interest since new government policies directed at end-of-life care were recently introduced.
“…Team decision making accounts for improvements in patient care as well as organizational effectiveness. 15 Teambased care can be beneficial in chronic disease and terminal illness care 16,17 and has improved multiple patient outcomes in the management of congestive heart failure. 18 These core elements of continuity, efficiency, and team care need to be enhanced and emphasized in our primary care residency clinics so that our graduates enter practice with a better understanding of the PCMH.…”
“…Istraživanja autora iz različitih zemalja pokazala su poboljšanja svih aspekata kvaliteta života (fizičkog, socijalnog, psihološkog, duhovnog) pacijenata koji se zbrinjavaju u hospisima i u kućnim uslovima u poređenju sa zbrinjavanjem u bolnicama i jedinicama za palijativno zbrinjavanje (Mor & Masterson, 1990;Mor, Stalker, & Gralla, 1988;McMillan, 1996;McMillan & Mahon, 1994;Parkes, 1979a;Parkes & Parkes, 1984;Parkes, 1979b;Ventafridda, Tamburini, & Selmi 1985;Ventarfridda, De Conno, & Vigano,1989;Ventarfridda, De Conno, & Ripamonti, 1990;Zimmer, Groth Juncker, & McCusker, 1985).…”
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