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Primary Palliative Care in Urology: Quality Improvement Summit 2021-2022
Jonathan Bergman1,2,3, Pauline Filippou4, Anne M Suskind5
1The David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California.
Urology Practice
|March 7, 2024
Summary
Palliative care integration in urology is crucial for patients with serious illness. A summit proposed the UroPal model, positioning urologists as central to primary palliative care delivery.
Area of Science:
- Urology
- Palliative Care
- Quality Improvement
Background:
- Palliative care is essential for patients with advanced urologic diseases.
- Integrating palliative care into urology practice requires strategic planning and interdisciplinary collaboration.
Purpose of the Study:
- To explore strategies for integrating primary palliative care into urology practice.
- To develop a scalable model for primary palliative care in urology.
Main Methods:
- A 3-part Quality Improvement Summit convened 160 interdisciplinary healthcare professionals.
- Discussions focused on the urologist's role, implementation barriers, and operationalization of palliative care.
Main Results:
- Consensus was reached on the need for early palliative care in advanced urologic conditions.
- The UroPal model was conceptualized, with the urologist as the central coordinator of care.
- Agreement on key domains and interdisciplinary providers for addressing patient needs.
Conclusions:
- The summit provides a framework for integrating palliative care into urology.
- Urologists are well-positioned to deliver primary palliative care in surgical and chronic care settings.
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