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Developing a computerised search to help UK General Practices identify more patients for palliative care planning: a
Bruce Mason1, Kirsty Boyd2, Scott A Murray3
1Centre for Population Health Sciences, University of Edinburgh, Medical School, Teviot Place, Edinburgh, EH8 9AG, UK. Bruce.Mason@ed.ac.uk.
BMC Family Practice
|August 9, 2015
Summary
A computerised search of primary care records can improve identification of patients needing palliative care. This tool helps general practitioners (GPs) proactively plan care for deteriorating patients, though system acceptability remains a challenge.
Area of Science:
- Health Informatics
- Palliative Care
- Primary Care Medicine
Background:
- Annual deaths in the UK highlight unmet palliative care needs.
- Many advanced condition patients are not identified for timely support.
- Information technology in general practice can systematically identify deteriorating patients.
Purpose of the Study:
- To develop and test a computerised search of primary care records.
- To improve patient identification for a palliative care approach.
Main Methods:
- Iterative design and testing of a computerised search.
- Three-phase feasibility study in twelve primary care teams in Scotland.
- Assessed identification of deteriorating patients and clinician use of results.
Main Results:
- The search identified 0.6-1.7% of patients not on palliative care registers.
- 30-60% of identified patients were deemed at risk of deterioration.
- General practitioners commonly initiated electronic anticipatory care plans.
Conclusions:
- Computerised searches can significantly improve palliative care identification.
- Barriers to general practitioner (GP) acceptance exist.
- Time-efficient, generic anticipatory care planning tools are crucial.
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