Quality Improvement in Palliative Care Services and Networks: Preliminary Results of a Benchmarking Process in Catalonia, Spain

Gómez-Batiste, Xavier; Caja, Carmen; Espinosa, José; Bullich, Ingrid; Porta-Sales, Josep; Sala, Carme; Límón, Esther; Trelis, Jordi; Pascual, Antonio; Puente, María Luísa de la

doi:10.1089/jpm.2010.0059

Cited by 21 publications

(21 citation statements)

References 27 publications

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“…The high proportion of advanced cancer patients is the commonest care pattern in PC services in Spain. The mean numbers of patients receiving attention/year are lower than that of other sources24 25 and with considerable differences between regions; the most active HSTs are based in the Canary Islands, Madrid and Barcelona. The majority of HSTs have other PC resources in the district, as evidenced by the high proportion of discharges to community specialised units.…”

Section: Discussionmentioning

confidence: 68%

Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain

Tuca¹,

Gómez-Batiste

Espinosa-Rojas

et al. 2012

BMJ Support Palliat Care

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Section: Discussionmentioning

confidence: 68%

Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain

Tuca¹,

Gómez-Batiste

Espinosa-Rojas

et al. 2012

BMJ Support Palliat Care

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“…Case management demands care across jurisdictions and care settings, which is not easy to achieve in a state/federal funding structure of the kind seen in Australia. The influence of local drivers also means that some models of care have been based on geo-political boundaries that may not be readily transferrable to other regions [63,134-136]. …”

Section: Discussionmentioning

confidence: 99%

Elements of effective palliative care models: a rapid review

Luckett

Phillips

Agar

et al. 2014

BMC Health Serv Res

160

139

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BackgroundPopulation ageing, changes to the profiles of life-limiting illnesses and evolving societal attitudes prompt a critical evaluation of models of palliative care. We set out to identify evidence-based models of palliative care to inform policy reform in Australia.MethodA rapid review of electronic databases and the grey literature was undertaken over an eight week period in April-June 2012. We included policy documents and comparative studies from countries within the Organisation for Economic Co-operation and Development (OECD) published in English since 2001. Meta-analysis was planned where >1 study met criteria; otherwise, synthesis was narrative using methods described by Popay et al. (2006).ResultsOf 1,959 peer-reviewed articles, 23 reported systematic reviews, 9 additional RCTs and 34 non-randomised comparative studies. Variation in the content of models, contexts in which these were implemented and lack of detailed reporting meant that elements of models constituted a more meaningful unit of analysis than models themselves. Case management was the element most consistently reported in models for which comparative studies provided evidence for effectiveness. Essential attributes of population-based palliative care models identified by policy and addressed by more than one element were communication and coordination between providers (including primary care), skill enhancement, and capacity to respond rapidly to individuals’ changing needs and preferences over time.ConclusionModels of palliative care should integrate specialist expertise with primary and community care services and enable transitions across settings, including residential aged care. The increasing complexity of care needs, services, interventions and contextual drivers warrants future research aimed at elucidating the interactions between different components and the roles played by patient, provider and health system factors. The findings of this review are limited by its rapid methodology and focus on model elements relevant to Australia’s health system.

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“…The qualitative analysis could be used to assess the performance of the existing services and to explore areas of improvement. A systematic methodology has been developed [49,50]. An example of average needs in a District in Catalonia (Unpublished Observations, Gó mez-Batiste, 2012.)…”

Section: Proposals To Assess Needs and Improve Palliative Care At Thementioning

confidence: 99%

Identifying needs and improving palliative care of chronically ill patients

Gómez-Batiste

Martínez-Muñoz

Blay

et al. 2012

Current Opinion in Supportive &Amp; Palliative Care

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The challenges are to promote early and shared interventions, extended to all patients in need, in all settings of the social care and healthcare systems; to design and develop Palliative Care Programmes with a Public Health perspective. The first action is to identify, using the appropriate tools early in the clinical evolution of the disease, all patients in need of palliative care in all settings of care, especially in primary care services, nursing homes, and healthcare services responsible for care provision for these patients; to promote appropriate care in patients with advanced diseases with prognosis of poor survival.

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Quality Improvement in Palliative Care Services and Networks: Preliminary Results of a Benchmarking Process in Catalonia, Spain

Abstract: We conclude that benchmark methodology is valuable in acquiring data for use in improving palliative care organization for patients' benefit.

Cited by 21 publications

References 27 publications

Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain

Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain

Elements of effective palliative care models: a rapid review

Identifying needs and improving palliative care of chronically ill patients

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