Improving the delivery of palliative care in general practice: an evaluation of the first phase of the Gold Standards Framework.

Abstract:

BACKGROUND:The Gold Standards Framework (GSF) was developed to improve the delivery of palliative care in general practice. AIM:The aim of the study was to evaluate the first phase of GSF in terms of its acceptability to primary care teams, effectiveness in changing practice and professionals' views on the consequences for patient care. METHODS:A prospective longitudinal comparative survey of 12 participating, 12 matched and 18 other practices included focus groups and questionnaires. RESULTS:Participating practices reported that the GSF was acceptable. They also reported more standards successfully achieved than matched practices. Registers, team meetings and co-ordinated care were thought to have improved communication, teamwork, patient identification, assessment and care planning. CONCLUSIONS:This small study suggests that the GSF appears to be acceptable and its early introduction to a few teams appears to have changed practice. Participants were positive about the effect on care. An evaluation of national uptake and further research into clinical outcomes is required.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

Thomas K,Noble B

doi

10.1177/0269216306072501

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

49-53

issue

1

eissn

0269-2163

issn

1477-030X

pii

21/1/49

journal_volume

21

pub_type

杂志文章
  • French general practitioners vary in their attitudes toward treating terminally ill patients.

    abstract::The purpose of this study is to analyze French general practitioners' attitudes toward prescribing opiate painkillers for dying patients and compare them with their attitudes toward making frequent home visits. One hundred and fifteen general practitioners indicated the acceptability of prescribing opiates in 48 scena...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216309107012

    authors: Mas C,Albaret MC,Sorum PC,Mullet E

    更新日期:2010-01-01 00:00:00

  • The Liverpool Care Pathway for cancer patients dying in hospital medical wards: a before-after cluster phase II trial of outcomes reported by family members.

    abstract:BACKGROUND:Hospital is the most common place of cancer death but concerns regarding the quality of end-of-life care remain. AIM:Preliminary assessment of the effectiveness of the Liverpool Care Pathway on the quality of end-of-life care provided to adult cancer patients during their last week of life in hospital. DES...

    journal_title:Palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269216313487569

    authors: Costantini M,Pellegrini F,Di Leo S,Beccaro M,Rossi C,Flego G,Romoli V,Giannotti M,Morone P,Ivaldi GP,Cavallo L,Fusco F,Higginson IJ

    更新日期:2014-01-01 00:00:00

  • A new method to obtain and present complete information on the compatibility: study of its validity for eight binary mixtures of morphine with drugs frequently used in palliative care.

    abstract::Parenteral administration of mixtures of morphine with other drugs has become common practice in palliative care. Such mixtures are sometimes found to be incompatible but compatibility data are scarce. An attempt was made to develop a quick and simple investigation strategy to obtain complete information on the compat...

    journal_title:Palliative medicine

    pub_type: 指南,杂志文章,实务指引

    doi:10.1191/0269216302pm542oa

    authors: Vermeire A,Remon JP,Schrijvers D,Demeulenaere P

    更新日期:2002-09-01 00:00:00

  • Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey.

    abstract::Breakthrough pain (BKP) is a transitory flare of pain that occurs on a background of relatively well controlled baseline pain. Previous surveys have found that BKP is highly prevalent among patients with cancer pain and predicts more severe pain, pain-related distress and functional impairment, and relatively poor qua...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216304pm890oa

    authors: Caraceni A,Martini C,Zecca E,Portenoy RK,Ashby MA,Hawson G,Jackson KA,Lickiss N,Muirden N,Pisasale M,Moulin D,Schulz VN,Rico Pazo MA,Serrano JA,Andersen H,Henriksen HT,Mejholm I,Sjogren P,Heiskanen T,Kalso E,Pere

    更新日期:2004-04-01 00:00:00

  • Lack of concealment may lead to selection bias in cluster randomized trials of palliative care.

    abstract::Comprehensive palliative care programs are often implemented on a community level, and to evaluate such interventions, randomization by cluster (community) may be the only feasible method. In trials randomizing individual subjects, the importance of proper concealment has been stressed. In cluster randomized trials, h...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1191/0269216302pm523oa

    authors: Jordhøy MS,Fayers PM,Ahlner-Elmqvist M,Kaasa S

    更新日期:2002-01-01 00:00:00

  • A Delphi study to develop the Association for Palliative Medicine consensus syllabus for undergraduate palliative medicine in Great Britain and Ireland.

    abstract::The Association for Palliative Medicine (APM) produced a previous undergraduate palliative medicine syllabus in 1992. This study describes the process of developing the new APM consensus syllabus against the background of changes in medical education and palliative medicine since 1992. The syllabus was derived by mean...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308090769

    authors: Paes P,Wee B

    更新日期:2008-06-01 00:00:00

  • Barriers and facilitators to the receipt of palliative care for people with dementia: the views of medical and nursing staff.

    abstract:BACKGROUND:The global prevalence of dementia is set to rise to almost 65 million people by 2030, providing policy makers and practitioners with significant challenges, not least within the realms of end-of-life care. The international literature would suggest that people with dementia may benefit from palliative forms ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216311423443

    authors: Ryan T,Gardiner C,Bellamy G,Gott M,Ingleton C

    更新日期:2012-10-01 00:00:00

  • Progressive multifocal leukoencephalopathy and palliative care: a report of three cases and review of the literature.

    abstract::Progressive multifocal leukoencephalopathy (PML) is a rare but usually fatal demyelinating disease of the central nervous system in patients who are immunocompromised. It is characterized by rapid neurological deterioration associated with progressive white matter changes on imaging and is confirmed by isolation of th...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216312450932

    authors: Cotton PJ,Le B

    更新日期:2013-03-01 00:00:00

  • Clinical research in palliative care: choice of trial design.

    abstract::Prospective controlled clinical trials provide the highest level of evidence in palliative care. Both parallel and crossover studies have unique advantages and disadvantages. Excellent knowledge of the patient population, interventions and endpoints are useful in choosing the most appropriate trial. Open pilot studies...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921601678576275

    authors: Mazzocato C,Sweeney C,Bruera E

    更新日期:2001-05-01 00:00:00

  • Pain scales in children: a review.

    abstract::This is a review of tools that have been developed to assess pain in children, with a brief evaluation of their practicality and validity. There are some suggestions for the direction of future research in the development and use of the scales. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/026921639701100503

    authors: Hain RD

    更新日期:1997-09-01 00:00:00

  • Bereaved relatives' perspectives of the patient's oral intake towards the end of life: a qualitative study.

    abstract:BACKGROUND:Patients approaching death often have a decreasing oral intake, which can be distressing for relatives. Little is known about the relatives' experiences with and perceptions of oral intake at the end of life. AIM:This study aims to contribute to a more thorough understanding of relatives' concerns regarding...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313477178

    authors: Raijmakers NJ,Clark JB,van Zuylen L,Allan SG,van der Heide A

    更新日期:2013-07-01 00:00:00

  • Development of a Carer Support Needs Assessment Tool (CSNAT) for end-of-life care practice at home: a qualitative study.

    abstract:BACKGROUND:Current end-of-life care policy and guidance recognises the important contribution of family carers, recommending that their needs should be assessed to support them in their caring role. How regular carer assessment is to be achieved is unclear, particularly because there is no evidence-based tool for direc...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216312440607

    authors: Ewing G,Grande G,National Association for Hospice at Home.

    更新日期:2013-03-01 00:00:00

  • Existential issues do not necessarily result in existential suffering: lessons from cancer patients in Israel.

    abstract::Existential distress has been recognized as a source of suffering for oncology patients. This study focusses on existential issues and coping mechanisms of a unique culturally diverse Jewish/Middle Eastern oncology population. A qualitative assessment of 40 patients with advanced cancer was undertaken through an inter...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216305pm1038oa

    authors: Blinderman CD,Cherny NI

    更新日期:2005-07-01 00:00:00

  • Depression in palliative care: a systematic review. Part 2. Treatment.

    abstract:OBJECTIVE:To summarize available literature containing data on the treatment of depression in palliative care patients. METHODS:A systematic review was conducted using extensive electronic databases and hand searches. All randomized controlled trials (RCTs) of interventions for depression in patients with advanced dis...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1191/0269216302pm570oa

    authors: Ly KL,Chidgey J,Addington-Hall J,Hotopf M

    更新日期:2002-07-01 00:00:00

  • Clinical research in palliative care: patient populations, symptoms, interventions and endpoints.

    abstract::Clinical trials in palliative care involve multiple issues relating to patient populations, interventions and endpoints. Careful data collection and analysis of variables are vital for good clinical research in this complex area. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921601668441770

    authors: Mazzocato C,Sweeney C,Bruera E

    更新日期:2001-03-01 00:00:00

  • The role of general practitioners in continuity of care at the end of life: a qualitative study of terminally ill patients and their next of kin.

    abstract:OBJECTIVES:Exploring terminal patients' perceptions of GPs' role in delivering continuous end-of-life care and identifying barriers to this. DESIGN:Qualitative interview study with patients (two consecutive interviews). SETTING:Primary care Belgium. PARTICIPANTS:Seventeen terminally ill cancer patients, informed abo...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216307078503

    authors: Michiels E,Deschepper R,Van Der Kelen G,Bernheim JL,Mortier F,Vander Stichele R,Deliens L

    更新日期:2007-07-01 00:00:00

  • Erratum.

    abstract::Philip J Larkin, Fliss Murtagh, Heather Richardson, Myra Bluebond Langner and Sheila Payne (2016) Collaboration: Securing a future for palliative care research. Palliative Medicine, September 2016 30:8 709-710, doi: 10.1177/0269216316661970. ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,已发布勘误

    doi:10.1177/0269216316672799

    authors:

    更新日期:2016-12-01 00:00:00

  • Repeated subcutaneous esketamine administration for depressive symptoms and pain relief in a terminally ill cancer patient: A case report.

    abstract:BACKGROUND:Depressive disorders are common among cancer patients. Ketamine can quickly relieve depression, and its subcutaneous administration appears to be as effective as and probably safer than its standard intravenous administration. Herein, we report a case verifying the antidepressant effect of a subcutaneous esk...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320910351

    authors: Barbosa MG,Delfino RS,Sarin LM,Jackowski AP

    更新日期:2020-06-01 00:00:00

  • 'Palliative sedation'? A retrospective cohort study on the use and labelling of continuously administered sedatives on a palliative care unit.

    abstract:BACKGROUND:Sedatives are frequently used towards the end of life. However, there is scarce information when their use is labelled as 'palliative sedation'. AIM:To assess the use and labelling of 'continuous administration of sedatives within the last 7 days of life', based on objective operational criteria, on a palli...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318764095

    authors: Schildmann E,Pörnbacher S,Kalies H,Bausewein C

    更新日期:2018-07-01 00:00:00

  • Legalisation of euthanasia or physician-assisted suicide: survey of doctors' attitudes.

    abstract::This study reports UK doctors' opinions about legalisation of medically assisted dying (euthanasia and physician-assisted suicide), comparing this with the UK general public. A postal survey of 3733 UK medical practitioners was done. The majority of UK doctors are opposed to legalisation, contrasting with the UK gener...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308102041

    authors: Seale C

    更新日期:2009-04-01 00:00:00

  • The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review.

    abstract:BACKGROUND:Terminal illness not only causes physical suffering but also spiritual distress. Spiritual care has been widely implemented by healthcare professionals to assist patients coping with spiritual distress. However, the effects of spiritual care need to be clear. AIM:To evaluate the effects of spiritual care on...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318772267

    authors: Chen J,Lin Y,Yan J,Wu Y,Hu R

    更新日期:2018-07-01 00:00:00

  • An extra care sheltered housing complex for frail ambulant cancer patients.

    abstract::The history and development of an extra care sheltered housing complex, specifically designed and built for frail, ambulant, cancer patients is reviewed. Consideration is given to diagnosis, length of stay, place of death, family and social background. Problems are highlighted and the need for future research is discu...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639500900309

    authors: Sherry KL

    更新日期:1995-07-01 00:00:00

  • 'It all depends!': A qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers.

    abstract:BACKGROUND:It is often suggested that terminally ill patients favour end-of-life care at home. Yet, it is unclear how these preferences are formed, if the process is similar for patients and family caregivers, and if there are discrepancies between preferences for place of care and place of death. Understanding these n...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319845794

    authors: Gerber K,Hayes B,Bryant C

    更新日期:2019-07-01 00:00:00

  • Which patients with terminal cancer are admitted from home care?

    abstract::The factors related to admission of patients with terminal cancer who had been referred to a reputable home care service were examined in 415 patients referred in a two-year period and in a prospective study of a randomized one in three sample of the 232 adults still alive one week after referral, who were able to con...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/026921639400800303

    authors: Hinton J

    更新日期:1994-01-01 00:00:00

  • A study comparing hyoscine hydrobromide and glycopyrrolate in the treatment of death rattle.

    abstract::This study looked at the efficacy of drug treatment in managing death rattle in a 30-bedded specialist palliative care unit. The study was conducted in two phases. In the first, patients received hyoscine hydrobromide as the antimuscarinic; glycopyrrolate was used in the second phase. The patients in the two phases we...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章

    doi:10.1191/026921601678320313

    authors: Back IN,Jenkins K,Blower A,Beckhelling J

    更新日期:2001-07-01 00:00:00

  • A cross-national cross-sectional survey of the attitudes and perceived competence of final-year medicine, nursing and pharmacy students in relation to end-of-life care in dementia.

    abstract:BACKGROUND:Little is known about the attitudes of healthcare professional students' perceived competence and confidence in treating those with dementia who are at the end of life. AIM:To explore the attitudes of final year medical, nursing and pharmacy students towards people with dementia and to evaluate their percei...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313483661

    authors: De Witt Jansen B,Weckmann M,Nguyen CM,Parsons C,Hughes CM

    更新日期:2013-10-01 00:00:00

  • Economic evaluation of a combined screening and stepped-care treatment program targeting psychological distress in patients with metastatic colorectal cancer: A cluster randomized controlled trial.

    abstract:BACKGROUND:Psychological distress is highly prevalent among patients with metastatic colorectal cancer. AIMS:To perform an economic evaluation of a combined screening and treatment program targeting psychological distress in patients with metastatic colorectal cancer in comparison with usual care. DESIGN:Societal cos...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320913463

    authors: El Alili M,Schuurhuizen CSEW,Braamse AMJ,Beekman ATF,van der Linden MH,Konings IR,Dekker J,Bosmans JE

    更新日期:2020-07-01 00:00:00

  • The relationship between opioid use and laxative use in terminally ill cancer patients.

    abstract::The frequency of the use of laxatives, and the relationship between doses of laxatives and of opioid analgesia, were determined by a prospective study of 498 hospice inpatients with advanced cancer. Laxatives were required by 87% of patients taking oral strong opioids, 74% of those on weak opioids and 64% of those not...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/026921698674125048

    authors: Sykes NP

    更新日期:1998-09-01 00:00:00

  • Home or hospital as the place of end-of-life care and death: A grounded theory study of parents' decision-making.

    abstract:BACKGROUND:While several studies have examined 'what' families want with regard to the place of a child's end-of-life care and death, few have explored 'how' parents reach a decision. AIMS:(1) to develop a model explaining how parents of a child with a life-threatening illness in Greece decide about the place of end-o...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320967547

    authors: Papadatou D,Kalliani V,Karakosta E,Liakopoulou P,Bluebond-Langner M

    更新日期:2021-01-01 00:00:00

  • Evidence on the analgesic role of bisphosphonates and denosumab in the treatment of pain due to bone metastases: A systematic review within the European Association for Palliative Care guidelines project.

    abstract:BACKGROUND:Bisphosphonates and denosumab are well-established therapies to reduce the frequency and severity of skeletal-related events in patients with bone metastasis. However, the analgesic effect of these medications on bone pain is uncertain. AIM:To identify, critically appraise and synthesize existing evidence t...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216316639793

    authors: Porta-Sales J,Garzón-Rodríguez C,Llorens-Torromé S,Brunelli C,Pigni A,Caraceni A

    更新日期:2017-01-01 00:00:00