Methods for Improving the Quality of Palliative Care Delivery: A Systematic Review

被引：15

作者：

Lau, Brandyn D. ^{[1
,2
]}

Aslakson, Rebecca A. ^{[3
]}

Wilson, Renee F. ^{[2
]}

Fawole, Oluwakemi A. ^{[2
]}

Apostol, Colleen C. ^{[4
]}

Martinez, Kathryn A. ^{[5
]}

Vollenweider, Daniela ^{[2
]}

Bass, Eric B. ^{[2
]}

Dy, Sydney E. Morss ^{[4
,5
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Surg, Div Acute Care Surg, Baltimore, MD 21287 USA

[2] Johns Hopkins Univ, Sch Med, Div Gen Internal Med, Evidence Based Practice Ctr, Baltimore, MD USA

[3] Johns Hopkins Sch Med, Dept Anesthesiol & Crit Care Med, Baltimore, MD USA

[4] Johns Hopkins Univ Hosp, Duffey Pain & Palliat Care Program, Baltimore, MD 21287 USA

[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2014年 / 31卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

OF-LIFE ASSESSMENTS; IMPROVEMENT INTERVENTION; PHYSICIAN BEHAVIOR; SYMPTOM MANAGEMENT; FAMILY CAREGIVERS; ADVANCED CANCER; IMPACT; END; COMMUNICATION; SATISFACTION;

D O I：

10.1177/1049909113482039

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The effectiveness for improving the outcomes across palliative care domains remains unclear. We conducted a systematic review of different types of quality improvement interventions relevant to palliative care. Methods: We searched PubMed, CINAHL, PsycINFO, and Cochrane for relevant articles published between 2000 and 2011. Results: A total of 10 randomized controlled trials and 7 nonrandomized controlled trials were included. Of the 5 studies using relay of clinical information, 1 reported significant improvement in patient quality of life. Of the 5 studies targeting education and self-management, 4 found significant improvements in quality of life or patient symptoms. Conclusion: A minority of quality improvement interventions have succeeded in improving the quality of palliative care delivery. More studies are needed on specific quality improvement types, including organizational change and multiple types of interventions. © The Author(s) 2013.

引用

页码：202 / 210

页数：9

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