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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Ethical Concerns in Healthcare:
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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
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Codesign Use in Palliative Care Intervention Development: A Systematic Review.

Karleen F Giannitrapani1, Kendall Lin2, Ladees Al Hafi3

  • 1Center for Innovation to Implementation (Ci2i) (K.F.G, K.L, B.M), VA Palo Alto Health Care System, Menlo Park, USA; Department of Primary Care and Population Health (K.F.G), Stanford University School of Medicine, Palo Alto, USA.

Journal of Pain and Symptom Management
|June 23, 2024
PubMed
Summary
This summary is machine-generated.

Codesign in palliative care (PC) interventions shows varied approaches. Iterative codesign involving patients, caregivers, and providers leads to improved outcomes.

Keywords:
Codesignintervention designpalliative caresystematic review

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Patient-Centered Care

Background:

  • Codesign is a collaborative methodology for developing solutions.
  • It has been applied to palliative care (PC) interventions.
  • Understanding the evidence base for codesign in PC is crucial.

Purpose of the Study:

  • To synthesize existing evidence on codesign in palliative care intervention development.
  • To identify best practices for codesign in this field.

Main Methods:

  • Searched PubMed, EMBASE, and CINAHL for studies post-1995 on codesigned PC interventions.
  • Screened 1,036 abstracts and 54 full texts; abstracted 28 studies.
  • Assessed quality using the Mixed Methods Appraisal Tool and synthesized findings narratively.

Main Results:

  • Twenty-eight studies utilized diverse feedback methods (workshops, interviews, pilot testing).
  • Eleven studies reported improved outcomes, with eight using iterative codesign.
  • Successful outcomes were linked to multiple stakeholder meetings and iterative design.

Conclusions:

  • Palliative care codesign interventions vary significantly in feedback methods and application.
  • Involving patients, caregivers, and providers iteratively is key for successful codesign outcomes.
  • Further research can refine codesign best practices in palliative care.