No registrations found.
ID
Source
Brief title
Health condition
All life-threatening diseases
Sponsors and support
Intervention
Outcome measures
Primary outcome
Percentage of patients who die at home
Secondary outcome
• Percentage of patients who are registered for palliative care,
• Number and number of days of hospital admissions
• Symptoms (USD), Quality of life (FACIT-Sp), Quality of palliative care delivery (POS)
Background summary
At the end of life patients are often admitted to the hospital. These hospital admissions can be burdensome and from a medical viewpoint not always necessary. Consequently, patients often die in the hospital although most patients indicate that they want to die at home. To be able to improve the delivery of palliative care at home, a regional protocol about 24/7 availability of specialized palliative care in the home situation is developed. Within this protocol General Practitioners and district nurses who are specialized in palliative care collaborate with the aim to improve timely identification of palliative patients and the delivery of adequate palliative care at home. In complex situations they are advised and coached by members of the specialized palliative care team of the hospital. To evaluate the effect and the process of implementation of this protocol in a large homecare organization in the South-East part of the Netherlands a pre and post evaluation study will be performed.
Study objective
We expect that patient who receive care according to the protocol about 24/7 availability of specialized palliative care in the home situation, during the year of the study will die more often at home than patients in the years before start of the study.
Study design
Measurements of questionnaires are at baseline, 1 month, 2 months and 3 months
Intervention
Implementation of the protocol about 24/7 availability of specialized palliative care in the home situation.
Inclusion criteria
• Patients identified by the GP as being in the palliative phase
• Patients are 18 years or older
Exclusion criteria
• Patients with a severe cognitive disorder
• Patients who do not speak Dutch
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
NTR-new | NL7957 |
Other | WETC Radboudumc : METC 2018-4957 |