Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners in Denmark - an Intervention Study
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Place of death of deceased patients
研究概览
简要总结
Background: Optimizing the basic palliative care has been shown beneficial to patients in end-of-life care, the general practitioner (GP) having a pivotal role in the health care system, providing comprehensive and continued medical care.
The aim of the study is to investigate the effect of a complex intervention in general practice on GPs' awareness of and confidence in providing end-of-life care.
Method: A follow-up study among 404 general practices in Central Denmark Region. The participating general practices will get the opportunity to receive education in palliative care and access to an electronic support, which provides advice on palliative care and an overview of the palliative population in each medical practice. The education and the support will focus on patients suffering from either metastatic cancer or chronic obstructive pulmonary disease (GOLD stage 4).
The end-of-life care delivered by the GPs to their deceased patients will be analysed, based on questionnaires to GPs and register data related to the deceased patients before and after the intervention, .
Primary outcomes: Place of death of deceased patients, time spent at home, and number of hospital admissions in the last three months of the patients' lives.
Secondary outcomes: Number and kinds of contacts between GPs and patients, use of relevant medicine and of the 'Safety Box'. Finally GPs' confidence concerning palliative care will be assessed in questionnaires.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
排除标准
- 未提供
研究组 & 干预措施
general practioner
干预措施: education and electronic support (Other)
general practioner
干预措施: continuing medical education and electronic decision support (Other)
结局指标
主要结局
Place of death of deceased patients
时间窗: 1 year
Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting
time spent at home the last three months of the deceased patients lives
时间窗: 3 months
Looking at all the deceased patients in one year following the continuing medical education meeting
Numbers of hospital admission the last three months of the deceased patients lives
时间窗: 3 months
Looking at all the deceased patients in one year following the continuing medical education meeting
次要结局
- and kinds of contacts between GPs and patients in the last three months of the deceased patients lives(three months)
- use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives(three months)
- GPs' confidence concerning palliative care(14 months)