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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Are We Consulting, Sharing Care, or Taking Over? A Conceptual Framework.

José Pereira1,2,3, Christopher Klinger1,3, Hsien Seow4

  • 1Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.

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|February 28, 2024
PubMed
Summary

A new Consultation-Shared Care-Takeover (C-S-T) Framework clarifies palliative care service models. This framework helps differentiate and assess collaborative care between specialist palliative care teams and other providers.

Keywords:
consultationpalliative careprimary careservice modelsshared carespecialist

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Area of Science:

  • Palliative Care
  • Healthcare Delivery Models
  • Interprofessional Collaboration

Background:

  • Primary and specialist palliative care services are essential and require synergistic collaboration.
  • Existing palliative care service models lack standardized interpretation and deployment.

Purpose of the Study:

  • To introduce the Consultation-Shared Care-Takeover (C-S-T) Framework.
  • To describe the evolution and applications of the C-S-T Framework for palliative care services.

Main Methods:

  • The C-S-T Framework was developed through an iterative process.
  • This process included a symposium, literature reviews, study results, and real-world applications.

Main Results:

  • The C-S-T Framework defines a spectrum of care models: Consultation, Shared Care, and Takeover.
  • Five domains (Scope, Prescriber, Communication, Follow-up, Most Responsible Practitioner) differentiate these models.
  • Each model within the framework has distinct strengths, limitations, uses, and roles.

Conclusions:

  • The C-S-T Framework provides a tool to describe, understand, assess, and monitor palliative care service models.
  • Further large-scale studies are needed to validate the framework's application across diverse healthcare systems.