Integrated Model for Patient-Centered Advanced Liver Disease Care

Area of Science:

• Hepatology
• Palliative Care
• Chronic Illness Management

Background:

• Advanced liver disease (AdvLD) is a common, high-risk condition with significant morbidity and mortality.
• Current treatments for AdvLD are effective, yet access to evidence-based supportive and palliative care remains insufficient.
• Existing chronic illness models show promise for integrating palliative care with curative treatments but face knowledge gaps.

Purpose of the Study:

• To review evidence gaps hindering the development of an integrated care model for AdvLD.
• To describe a conceptual framework for a patient-centered approach to integrated care in AdvLD.
• To identify key elements for improving integrated supportive and palliative care for AdvLD patients.

Main Methods:

• Literature review of evidence gaps in integrated care for AdvLD.
• Development of a conceptual framework for patient-centered integrated care.
• Analysis of elements required for collaborative care planning.

Main Results:

• Identified significant knowledge gaps in the integration of supportive and palliative care for AdvLD.
• Proposed a conceptual framework emphasizing patient priorities and collaborative decision-making.
• Highlighted the need for a multidisciplinary approach involving clinicians, patients, and caregivers.

Conclusions:

• An integrated care model is crucial for optimizing outcomes in advanced liver disease.
• Addressing identified evidence gaps is necessary for implementing effective patient-centered care.
• Collaborative efforts are essential to align treatments with patient values and improve quality of life in AdvLD.