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.
Studie Overzicht
Toestand
Interventie / Behandeling
Studietype
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Aarhus, Denemarken, 8000
- Aarhus University
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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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Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Ander: general practioner
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Continuing medical education and electronic decision support to General Practitioners.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Place of death of deceased patients
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Tijdsspanne: 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
Tijdsspanne: three months
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three months
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GPs' confidence concerning palliative care
Tijdsspanne: 14 months
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assessed using questionnaire before and after the intervention
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14 months
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Anders B. Mr Jensen, Professor, Department of Oncology, Aarhus University Hospital, Denmark
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 2006802748
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