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Continuing Care01:25

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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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Related Experiment Video

Updated: Jan 12, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Examining Telehealth Modalities and Consultation Interventions in Palliative Care: Outcomes From an Innovative Rapid

Russell Pearce1, Patrick Steele1, Peter Poon1

  • 1Supportive and Palliative Care, Monash Medical Centre, Clayton, VIC, Australia.

The American Journal of Hospice & Palliative Care
|November 6, 2025
PubMed
Summary

The Rapid Palliative Care Inreach Division (RAPID) program effectively uses telehealth for patient transitions. Video consultations within RAPID were linked to more interventions, suggesting improved palliative care delivery.

Keywords:
COVID-19palliative careretrospective clinical auditservice deliverytelehealthtelemedicinetransitional care

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Telehealth

Background:

  • Transitions between hospital and home settings pose challenges for palliative care patients.
  • The Rapid Palliative Care Inreach Division (RAPID) program was established to support these transitions using telehealth.
  • Specialized support services are crucial for managing palliative care patient needs during care transitions.

Purpose of the Study:

  • To evaluate the utilization of telehealth modalities within the RAPID program.
  • To assess the association between telehealth consultation interventions and patient outcomes.
  • To understand the role of RAPID in facilitating transitional palliative care.

Main Methods:

  • Retrospective clinical audit of electronic medical records for patients in the RAPID program (October 2020 - March 2022).
  • Data collected included patient demographics, Palliative Care Outcomes Collaboration (PCOC) phase, consultation modality (telephone, video, in-person), and intervention types.
  • Analysis focused on 201 patients receiving 722 consultations.

Main Results:

  • Telephone was the most common consultation modality (76.18%), followed by video (18.56%) and in-person (5.26%).
  • Video consultations were associated with higher intervention rates, especially in Stable and Deteriorating PCOC phases.
  • Hospital in the Home (HITH) patients experienced longer service involvement and more interventions compared to community-discharged patients.

Conclusions:

  • The RAPID program demonstrates the value of tailored telehealth in transitional palliative care.
  • Video consultations show potential clinical benefits due to higher intervention rates.
  • Further research is needed on patient-centered outcomes and optimal telehealth modality selection for palliative care transitions.