Palliative Care Programs: The Challenges of Growth

Ritchie, Christine S.; Ceronsky, Lyn; Cote, Todd R.; Herr, Sharol; Pantilat, Steven Z.; Smith, Thomas J.; Yosick, Lori

doi:10.1089/jpm.2010.9768

Cited by 9 publications

(5 citation statements)

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“…Because it was an anonymous survey, nonresponders could not be identified to compare the characteristics of respondents with nonrespondents. Nevertheless, the issues highlighted from this survey are consistent with the result of surveys in other internal medicine subspecialties (Callahan et al, 2017;Chan, Yu, Leung, Chan, & Hui, 2016;Cumbler, 2009;Podrazik et al, 2008;Ritchie et al, 2010;SEGUE & AGS, 2011). In addition, several community programs were surveyed which may not have all of the resources of a large academic center, but are still responsible for training many future internists and subspecialists.…”

Section: Discussionsupporting

confidence: 77%

Meeting Geriatric Competencies: Are Internal Medicine Residency Programs in New Jersey Meeting Expectations for Quality Care in Older Adults

Sedhom

Barile

2019

SAGE Open

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There has long been recognition for improved education and training in aging and geriatrics. As the number of older individuals in the United States increases, with 20% being older than 65 years by 2030, it will become increasingly important for internists and medical subspecialty trainees to have proper training in the care of older adults. A survey was developed and administered to Internal Medicine Program Directors, to perform an educational needs assessment. The survey was administered during the beginning of the 2015 academic year via email. The survey assessed general program characteristics, details regarding required geriatric and palliative medicine teaching, opportunities for electives, barriers encountered at each training site, and future recommendations for improving the structure of resident education. Analysis of survey responses indicated that geriatric and palliative care education is lacking. Although all training programs provided some aspect of geriatric and palliative medicine training to internal medicine residents, only 27% of training programs had a formal curriculum in geriatric and palliative medicine. The majority had an informal curriculum. Very few programs reported using a multimodality approach; most used isolated experiences in either an inpatient or an outpatient setting. Although all residency directors believed curricular developments in geriatric and palliative medicine were important, very few have available faculty needed to facilitate curricular improvements. Almost all identified that they would use a restructured curriculum if it were readily available. Investment in developing content and a standardized curriculum in geriatric and palliative medicine would be very valuable and well received in New Jersey.

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Section: Discussionsupporting

confidence: 77%

Meeting Geriatric Competencies: Are Internal Medicine Residency Programs in New Jersey Meeting Expectations for Quality Care in Older Adults

Sedhom

Barile

2019

SAGE Open

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“…Herr et al citou, durante sua participação na mesa redonda Palliative Care Programs: The challenges of growth: "O mais gratificante aspecto do nosso programa tem sido o seu impacto real na qualidade e na satisfação dos pacientes, suas famílias e equipes com que estamos trabalhando em hospitais, e a satisfação dos nossos médicos e colaboradores [5][6][7]. A afirmação do autor revela a vasta gama de benefícios na implantação de serviço de CP e fora acrescida com a consideração de Smith (2010), que menciona o grande potencial que os centros hospitalares, com serviço de CP, têm de realização de pesquisas sobre dor, sintomas e gestão, além de ensaios clínicos, por exemplo [23]. Os resultados benéficos primários, atribuídos à atuação de uma equipe de cuidados paliativos, foram a melhora da qualidade de vida, alívio dos sintomas, resultados psicológicos e de satisfação [21].…”

Section: Benefício: Melhora Na Qualidade Do Serviçounclassified

Implantação de Serviço Hospitalar de Cuidados Paliativos em Hospital da Região Norte do Rio Grande Do Sul: um Plano Conceitual

Tissiani,

Lando,

Safro

et al. 2024

Braz. J. Clin. Med. Rev.

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A necessidade de uma equipe de cuidados paliativos (CP) nos centros de referência em oncologia ascende na esfera da saúde pública brasileira e, cada vez mais, população e profissionais da saúde unem-se em prol de uma assistência digna à terminalidade. A formação e atuação de uma equipe multidisciplinar de cuidados paliativos insere-se nesse contexto, visto que é alicerçada em uma filosofia humanitária e visa proporcionar aos indivíduos acometidos por doenças que representem potencial ameaça à vida, alívio do sofrimento físico e psíquico. A presente pesquisa visa ao desenvolvimento de um mapa conceitual, para implantação de serviço hospitalar de cuidados paliativos em uma Unidade de Tratamento de Alta Complexidade em Oncologia (UNACON) de um hospital público da região Norte do estado do Rio Grande do Sul, além de apresentar uma revisão bibliográfica sobre o tema e caracterizar, sociodemograficamente, a UNACON, desta forma, auxiliando em um possível cenário futuro de implantação. A pesquisa apresenta caráter retrospectivo, observacional, analítico e descritivo, por meio de coleta e análise quantitativa e descritiva de dados. Espera-se, como resultados, a longo prazo, servir como subsídio para a criação de políticas institucionais nessa área. Espera-se propiciar a reflexão, em âmbito acadêmico, a respeito do tema.

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“…Steven Pantilat, a palliative medicine physician from University of California, San Francisco, remarked in a recent roundtable, Palliative Care Programs: The Challenge of Managing Growth, that "As far as planning for and ensuring growth, nothing is better than doing a good job, and being able to demonstrate it. Collecting and displaying data on patient outcomes and the many different ways in which our team has been able to contribute to our institution has been exceedingly important for us" [26].…”

Section: Demonstrating Valuementioning

confidence: 99%

The Value of Data Collection within a Palliative Care Program

et al. 2011

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Collecting reliable and valid data is an increasing expectation within palliative care. Data remain the crux for demonstrating value and quality of care, which are the critical steps to program sustainability. Parallel goals of conducting research and performing quality assessment and improvement can also ensure program growth, financial health, and viability in an increasingly competitive environment. Mounting expectations by patients, hospitals, and payers and inevitable pay-for-performance paradigms have transitioned data collection procedures from novel projects to expected standard operation within usual palliative care delivery. We present types of data to collect, published guides for data collection, and how data can inform quality, value, and research within a palliative care organization. Our experiences with the Quality Data Collection Tool (QDACT) in the Carolinas Palliative Care Consortium to collect data on quality have led to valuable lessons learned in creating a data collection system. Suggested steps in forming data-sharing collaborations and building data collection procedures are shared.

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Palliative Care Programs: The Challenges of Growth

Cited by 9 publications

References 0 publications

Meeting Geriatric Competencies: Are Internal Medicine Residency Programs in New Jersey Meeting Expectations for Quality Care in Older Adults

Meeting Geriatric Competencies: Are Internal Medicine Residency Programs in New Jersey Meeting Expectations for Quality Care in Older Adults

Implantação de Serviço Hospitalar de Cuidados Paliativos em Hospital da Região Norte do Rio Grande Do Sul: um Plano Conceitual

The Value of Data Collection within a Palliative Care Program

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