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Impacto de una intervención compleja en atención primaria para pacientes con necesidades de cuidados paliativos en su

Carlos Seiça Cardoso¹, Filipe Prazeres^2,3,4, Cátia Nunes⁵

¹Faculty of Medicine, University of Coimbrahttps://ror.org/04z8k9a98, Coimbra, Portugal.

Primary health care research & development

|January 30, 2026

Abstracto

Objectives:

Palliative care development in primary care is crucial worldwide. This study reports on the secondary outcomes of a study that evaluated whether a complex intervention in primary care for patients with palliative care needs impacted their healthcare utilization.

Methods:

A before-after study was conducted with family physicians and patients with palliative care needs. Physicians received palliative care training and implemented a new primary palliative care consultation model. Healthcare utilization in the 12 weeks before, during, and after the intervention was compared.

Results:

We analysed healthcare utilization for 33 patients with advanced disease. Pre-intervention, there were high rates of no medical consultations, emergency visits, hospital admissions, and outpatient referrals (84.8%, 75.8%, 81.8%, and 84.8%, respectively). Despite slight reductions during and after the intervention, the differences were not statistically significant.

Conclusions:

The reduction in healthcare utilization was not statistically significant, but the data inform sample size calculations for future economic analyses.

Trial Registration:

ClinicalTrials.gov ID - NCT05244590. Registration: 14th February 2022.

Palabras clave:

Utilización de instalaciones y servicios cuidados paliativos atención primaria de salud

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