TITLE

Do specialist palliative care teams improve outcomes for cancer patients? A systematic literature review

AUTHOR(S)
Hearn, J.; Higginson, I.J.
PUB. DATE
September 1998
SOURCE
Palliative Medicine;1998, Vol. 12 Issue 5, p317
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The objective of the study was to determine whether teams providing specialist palliative care improve the health outcomes of patients with advanced cancer and their families or carers when compared to conventional services. The study involved a systematic literature review of published research. The source of the data included studies identified from a systematic search of computerized databases (Medline, psychINFO, CINAHL and BIDS to the end of 1996), hand-searching specialist palliative care journals, and studying bibliographies and reference lists. The inclusion criteria for articles were that the study considered the use of specialist palliative care teams caring for patients with advanced cancer. Articles were assessed and data extracted and synthesized, with studies graded according to design. A variety of outcomes were considered by the authors. These addressed aspects of symptom control, patient and family or carer satisfaction, health care utilization and cost, place of death, psychosocial indices and quality of life. Overall, 18 relevant studies were identified, including five randomized controlled trials. Improved outcomes were seen in the amount of time spent at home by patients, satisfaction by both patients and their carers, symptom control, a reduction in the number of inpatient hospital days, a reduction in overall cost, and the patients' likelihood of dying where they wished to for those receiving specialist care from a multiprofessional palliative care team. It was concluded that all evaluations were of services considered to be leading the field, or were pioneering training and treatments. However, when compared to conventional care, there is evidence that specialist teams in palliative care improve satisfaction and identify and deal with more patient and family needs. Moreover, multiprofessional approaches to palliative care reduce the overall cost of care by reducing the amount of time patients spend in acute hospital settings.
ACCESSION #
4093480

 

Related Articles

  • Vote of confidence. Askham, Janet; Chisholm, Alison // Nursing Management - UK;May2008, Vol. 15 Issue 2, p14 

    The article argues that patients should take part in healthcare professionals' appraisals in Great Britain. According to the article, the information required for these appraisals can include outcome measures such as death or recovery rates, workload measures and peer judgements about the...

  • Scotland sees matrons as out of date.  // Nursing Standard;6/8/2005, Vol. 19 Issue 39, p7 

    Reports that matrons will not be reintroduced to oversee the drive to improve infection control, according to health minister Andy Kerr and chief nurse Paul Martin in Scotland. Development of the structure to reduce healthcare-associated infections (HCAI); Comment of Kerr about the idea of...

  • A rational model for assessing and evaluating complex interventions in health care. May, Carl // BMC Health Services Research;2006, Vol. 6, p86 

    Background: Understanding how new clinical techniques, technologies and other complex interventions become normalized in practice is important to researchers, clinicians, health service managers and policy-makers. This paper presents a model of the normalization of complex interventions....

  • "Will they just pack up and leave?" -- attitudes and intended behaviour of hospital health care workers during an influenza pandemic. Seale, Holly; Leask, Julie; Po, Kieren; MacIntyre, C. Raina // BMC Health Services Research;2009, Vol. 9, Special section p1 

    Background: There is a general consensus that another influenza pandemic is inevitable. Although health care workers (HCWs) are essential to the health system response, there are few studies exploring HCW attitudes to pandemic influenza. The aim of this study was to explore HCWs knowledge,...

  • Alterations in Medical Interpretation During Routine Primary Care. Jackson, J. Carey; Nguyen, Diem; Hu, Nan; Harris, Raymond; Terasaki, Genji // JGIM: Journal of General Internal Medicine;Mar2011, Vol. 26 Issue 3, p259 

    BACKGROUND: Increasing numbers of patients require medical interpretation, yet few studies have examined its accuracy or effect on health outcomes. OBJECTIVE: To understand how alterations in medical interpretation affect health care delivery to patients with limited English proficiency (LEP),...

  • Does workforce size and mix influence patient satisfaction?  // Nursing Standard;7/25/2007, Vol. 21 Issue 46, p15 

    The article presents an analysis on the influence of workforce size and mix on patient satisfaction. The data released by the Healthcare Commission reveals that the top-rated trusts, based on many aspects of performance such as service quality, employ 1.63 nurses per bed, while the bottom-rated...

  • Cross-cultural adaptation and patients' judgments of a Question Prompt List for Italian-speaking cancer patients. Caminiti, Caterina; Diodati, Francesca; Filiberti, Silvia; Marcomini, Barbara; Annunziata, Maria Antonietta; Ollari, Maria; Passalacqua, Rodolfo // BMC Health Services Research;2010, Vol. 10, Special section p1 

    Background: Question Prompt Lists (QPLs) have proven very effective in encouraging cancer patients to ask questions, allowing them to take up a more active role during visits with the oncologist. As no such tool has yet been validated for Italian-speaking users, we carried out the cross-cultural...

  • Do hospital palliative care teams improve symptom control? Use of a modified STAS as an evaluation tool. Edmonds, P.M.; Stuttaford, J.M.; Penny, J.; Lynch, A.M.; Chamberlain, J. // Palliative Medicine;1998, Vol. 12 Issue 5, p345 

    The support team assessment schedule (STAS) has previously been validated as an evaluation tool for community palliative care teams and inpatient units. This study reports on use of an expanded STAS (E-STAS) to determine symptom prevalence and outcome for inpatients and outpatients referred to a...

  • A farewell to `quality.' Ray, Charles G. // Behavioral Health Management;Sep/Oct97, Vol. 17 Issue 5, p42 

    Evaluates the healthcare system in the United States. Assumptions used in evaluating the healthcare system; Factors to consider for determining a healthcare provider organization's value; Why outcomes measurement is necessary but not sufficient.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics