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.
Studieoversikt
Status
Intervensjon / Behandling
Studietype
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
-
-
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Aarhus, Danmark, 8000
- Aarhus University
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
- Eldre voksen
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
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Exclusion Criteria:
-
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Annen: general practioner
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Continuing medical education and electronic decision support to General Practitioners.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Place of death of deceased patients
Tidsramme: 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
|
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time spent at home the last three months of the deceased patients lives
Tidsramme: 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
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Tidsramme: 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
Tidsramme: three months
|
three months
|
|
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GPs' confidence concerning palliative care
Tidsramme: 14 months
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assessed using questionnaire before and after the intervention
|
14 months
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Anders B. Mr Jensen, Professor, Department of Oncology, Aarhus University Hospital, Denmark
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2006802748
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