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Promoting patient centred palliative care through case conferencing.
Tania M Shelby-James1, David C Currow, Paddy A Phillips
1Southern Adelaide Palliative Services, Repatriation General Hospital, South Australia.
Australian Family Physician
|November 29, 2007
Summary
Case conferences involving specialized palliative care services (SPCS) and general practitioners (GPs) are efficient. Patient and caregiver involvement in these palliative care case conferences enhances their effectiveness.
Area of Science:
- Palliative Care Medicine
- General Practice
- Health Services Research
Background:
- Investigating the characteristics of case conferences between general practitioners (GPs) and specialized palliative care services (SPCS).
- Understanding the integration of SPCS into routine care for patients with pain.
Purpose of the Study:
- To characterize case conferences between GPs and SPCS.
- To assess the efficiency and participation in these collaborative care models.
Main Methods:
- Adult patients (N=461) with pain and their GPs (N=230) were randomized to case conferences or routine SPCS care.
- Data collected on conference frequency, participant numbers, duration, and patient/caregiver involvement.
Main Results:
- 167 conferences were held; patient withdrawal, death, or study end impacted completion.
- Patient and/or caregiver participation occurred in 91% of conferences.
- Conference duration averaged 39 minutes and did not significantly increase with more professionals or patient/caregiver presence.
Conclusions:
- Case conferencing involving SPCS, GPs, other health professionals, and patients is an efficient component of routine palliative care.
- This collaborative model facilitates integrated care delivery for patients needing specialized support.
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