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Developing Evidence-Based Clinical Guidelines in Palliative Care for Home Care Setting in India.
Jenifer Jeba1, Jayarajan Ponissery2, Akhileswaran Ramaswamy3
1Palliative Care Unit, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
Indian Journal of Palliative Care
|December 14, 2020
Summary
Locally developed clinical guidelines for home-based palliative care in India ensure consistent, quality patient services. These evidence-based guidelines improve care delivery and serve as a valuable teaching resource for healthcare professionals.
Area of Science:
- Palliative Care Medicine
- Health Services Research
Background:
- Clinical guidelines are essential for standardizing care and reducing practice variations.
- The Jimmy S Bilimoria Foundation's PALCARE service identified a need for locally relevant guidelines for its home-based palliative care program.
- Development of guidelines aimed to ensure consistency and reliability in adult palliative care delivery in a home setting.
Purpose of the Study:
- To develop robust, evidence-based, multidisciplinary clinical guidelines for home-based palliative care in Mumbai, India.
- To ensure consistency and reliability in the delivery of palliative care services.
- To create guidelines applicable to similar settings in India and globally.
Main Methods:
- A Clinical Consultative Committee (CCC) of experienced palliative care professionals was formed.
- A structured process was employed, involving initial drafts, vetting over monthly meetings, and incorporating feedback.
- Thirty-nine guidelines were developed across eight categories, focusing on validity, relevance, local applicability, and reproducibility.
Main Results:
- Thirty-nine clinical guidelines for adult palliative care in a home setting were successfully developed.
- The developed guidelines were vetted for clinical validity and local relevance.
- The PALCARE team found the guidelines useful for their practice.
Conclusions:
- Local development of palliative care guidelines for home settings is beneficial for ensuring quality and reducing practice variations.
- These guidelines serve as an effective teaching resource for healthcare professionals.
- Regular audits against the guidelines are recommended to improve patient outcomes.
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