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Chaplains Work in Primary Care.

Austyn Snowden1, Iain Telfer2, Anne Vandenhoeck3

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|June 13, 2022
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Summary
This summary is machine-generated.

Community Chaplaincy Listening (CCL) improved patient outcomes in UK primary care. This spiritual support service demonstrated significant benefits for individuals, regardless of their religious beliefs, enhancing overall well-being.

Keywords:
Chaplainmeasurementoutcomeprimary carequantitative

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Area of Science:

  • Integrative health
  • Primary care services
  • Spiritual care

Background:

  • Healthcare often fails to address the holistic needs of patients, particularly those with complex bio-psycho-socio-economic issues presenting in primary care.
  • The Community Chaplaincy Listening (CCL) service was established in Scotland to explore the role of chaplains in providing spiritual support within general practice.
  • Primary care physicians (GPs) refer patients to CCL for dedicated listening and spiritual support.

Purpose of the Study:

  • To evaluate the effectiveness of the Community Chaplaincy Listening (CCL) service in a primary care setting.
  • To assess the impact of CCL on patient outcomes, including health-related quality of life and spiritual well-being.
  • To determine if CCL benefits patients regardless of their religious or spiritual self-identification.

Main Methods:

  • A cohort of 143 patients utilizing the CCL service between 2018 and 2019 were assessed.
  • Baseline and post-discharge outcome measures, including Scottish Patient Reported Outcome Measures (PROM) and EQ-5D-3L, were collected.
  • Statistical analysis was performed to determine the significance of changes in patient-reported outcomes.

Main Results:

  • Mean Scottish PROM scores significantly increased from 7.94 at baseline to 12 post-discharge (p < 0.0001), indicating substantial improvement.
  • The positive impact of CCL was observed across all patient groups, including those identifying as religious, spiritual, both, or neither.
  • While health-related quality of life outcomes were mixed, patients referred to CCL presented with exceptionally low baseline EQ-5D-3L scores.

Conclusions:

  • The Community Chaplaincy Listening (CCL) service proved effective in enhancing patient outcomes within the primary care setting.
  • CCL offers a valuable support system, particularly for patients often considered 'difficult to treat' due to complex needs.
  • Findings provide evidence for commissioners and service developers regarding the integration of spiritual care in primary healthcare.