Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners
Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners in Denmark - an Intervention Study
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.
Descripción general del estudio
Estado
Intervención / Tratamiento
Tipo de estudio
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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-
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Aarhus, Dinamarca, 8000
- Aarhus University
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
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Exclusion Criteria:
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Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Otro: general practioner
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Continuing medical education and electronic decision support to General Practitioners.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Place of death of deceased patients
Periodo de tiempo: 1 year
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Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting
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1 year
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time spent at home the last three months of the deceased patients lives
Periodo de tiempo: 3 months
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Looking at all the deceased patients in one year following the continuing medical education meeting
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3 months
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Numbers of hospital admission the last three months of the deceased patients lives
Periodo de tiempo: 3 months
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Looking at all the deceased patients in one year following the continuing medical education meeting
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3 months
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Periodo de tiempo: three months
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three months
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use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives
Periodo de tiempo: three months
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three months
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GPs' confidence concerning palliative care
Periodo de tiempo: 14 months
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assessed using questionnaire before and after the intervention
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14 months
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Anders B. Mr Jensen, Professor, Department of Oncology, Aarhus University Hospital, Denmark
Publicaciones y enlaces útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2006802748
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