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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
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Aarhus, Danemark, 8000
- Aarhus University
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
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Exclusion Criteria:
-
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Soins de soutien
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Autre: general practioner
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Continuing medical education and electronic decision support to General Practitioners.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Place of death of deceased patients
Délai: 1 year
|
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
|
|
time spent at home the last three months of the deceased patients lives
Délai: 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
Délai: 3 months
|
Looking at all the deceased patients in one year following the continuing medical education meeting
|
3 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Délai: three months
|
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
Délai: three months
|
three months
|
|
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GPs' confidence concerning palliative care
Délai: 14 months
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assessed using questionnaire before and after the intervention
|
14 months
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Anders B. Mr Jensen, Professor, Department of Oncology, Aarhus University Hospital, Denmark
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 2006802748
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