Table 7:
Resources Required for Included Interventions
| Intervention | Physician | Nurse | Other Personnel | Mean Program Duration | Patients, n | Sources |
|---|---|---|---|---|---|---|
| Palliative Team Care | ||||||
| PTC: In-home | 0.5–11.5 FTEs | 1–8 RN FTEs | CCAC resources | 73 days | 45–415/y | Data from 11 teams in Ontario (51) Lukas et al 2013 (52) |
| PTC: Inpatient | 2 FTEs | 1 NP FTE | Hospital resources | 7 days | 900–1,200/y | HQO EoL Expert Panel and published inputs (53) |
| PTC: Comprehensive | Inputs for PTC: | In-home and PTC: | Inpatient, above | — | — | — |
| Patient Care Planning Discussions | ||||||
| PCPD: Identifying LTC residents with EoL goals and preferences for EPC | Inputs for PTC: In-home | 30 min of RN time for screening and referral | Inputs for PTC: In-home | 89 days for +19% enrolled residents | Per patient | Published inputs (31) |
| PCPD: Ethics consultation for ICU patients with treatment conflicts | NA | NA | Hospital bioethicist | ICU stays in the last month of life | 100/y | HQO EoL Expert Panel and published inputs (48) |
| PCPD: Improving family conferences for relatives of patients dying in ICU | 2 FTEs | 1 RN | 1 SW | Increase conference from 30 min to 1 h | Per patient | HQO EoL Expert Panel and published inputs (33) |
| Educational Interventions for Patients and Caregivers | ||||||
| Multicomponent psycho-educational interventions for patients and families | NA | 4 phone training sessions | 3 phone follow-up sessions | 9 h | Per patient | Published inputs (54) |
| Supportive Interventions for Informal Caregivers | ||||||
| Supportive interventions for informal caregivers | NA | 2–6 visits | 0–2 phone sessions | 4–11 h | Per patient | Inputs from 6 RCTs included in a SR (37) |
Abbreviations: CCAC, Community Care Access Centre; EoL, end-of-life; EPC, early palliative care; FTE, full-time equivalent; HQO, Health Quality Ontario; ICU, intensive care unit; LTC, long-term care; NA, not applicable; NP, nurse practitioner; PCPD, patient care planning discussions; PTC, palliative team care; RCT, randomized controlled trial; RN, registered nurse; SR, systematic review; SW, social worker.