Implementation of the Care Pathway for Primary Palliative Care in Five Research Clusters in Belgium
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Bert Leysen
- 入组人数
- 24
- 试验地点
- 4
- 主要终点
- percentage of deaths occurred in the hospital (of patients per family doctor/per research cluster)
研究概览
简要总结
It is important to provide high quality palliative care to all patients with a non-curable and life-limiting condition. The Care Pathway for Primary Palliative Care (CPPPC) provides tools for health care professionals to help them delivering palliative care timely and accurately.This study investigates whether the implementation of the CPPPC really helps to improve patients' lifes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •identified as a palliative care patient using the Surprise Question "Would you, as a family doctor, be surprised if this patient would die in the next 12 months?". If the answer is 'no', the patient is eligible for the study.
排除标准
- •not having signed the informed consent.
研究组 & 干预措施
Research cluster 1: Antwerp
The first Dutch-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from October 2014.
干预措施: Care Pathway for Primary Palliative Care (Other)
Research cluster 2: Mons
The first French-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from November 2014.
干预措施: Care Pathway for Primary Palliative Care (Other)
Research cluster 3: Brussels
The only bilingual Dutch/French-speaking research cluster in a stepped wedge cluster design. Family doctors are implementing the Care Pathway for Primary Palliative Care and will recruit eligible patients from December 2014.
干预措施: Care Pathway for Primary Palliative Care (Other)
Research cluster 4: Limburg
The second Dutch-speaking research cluster in a stepped wedge cluster design. Family doctors will implement the Care Pathway for Primary Palliative Care and will recruit eligible patients from April 2015.
干预措施: Care Pathway for Primary Palliative Care (Other)
Research cluster 5: ?
A second French-speaking research cluster in a stepped wedge cluster design. Family doctors will implement the Care Pathway for Primary Palliative Care and will recruit eligible patients from October 2015.
干预措施: Care Pathway for Primary Palliative Care (Other)
结局指标
主要结局
percentage of deaths occurred in the hospital (of patients per family doctor/per research cluster)
时间窗: 6 months
The hypothesis is that the CPPPC reduces the percentage of deaths occurred in the hospital
次要结局
- cost of health care consumption in the last year of life (of patients per family doctor/per research cluster)(6 months)
- consumption of antibiotics in the last year of life (of patients per family doctor/per research cluster)(6 months)
- consumption of pain killers in the last year of life (of patients per family doctor/per research cluster)(6 months)
- consumption of (invasive) diagnostic and therapeutic procedures in the last year of life (of patients per family doctor/per research cluster)(6 months)
研究者
Bert Leysen
MD, PhD candidate
Universiteit Antwerpen