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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
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Aarhus, Danmark, 8000
- Aarhus University
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
Working as General Practitioner in the Central Region of Denmark in 2013 and onwards
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Exclusion Criteria:
-
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Övrig: general practioner
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Continuing medical education and electronic decision support to General Practitioners.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Place of death of deceased patients
Tidsram: 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
Tidsram: 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
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
and kinds of contacts between GPs and patients in the last three months of the deceased patients lives
Tidsram: 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
Tidsram: three months
|
three months
|
|
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GPs' confidence concerning palliative care
Tidsram: 14 months
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assessed using questionnaire before and after the intervention
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14 months
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Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Anders B. Mr Jensen, Professor, Department of Oncology, Aarhus University Hospital, Denmark
Publikationer och användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2006802748
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