Table 5.
Models of integrated Palliative Care (n = 2)
First author, and Year | Disease | Design | Quality assessment according to Hawker et al. | Intervention | Outcome measurements | Results/effectiveness of intervention |
---|---|---|---|---|---|---|
Vicente et al., 2010. [12] | Malignant and Non-malignant Disease | Retrospective and prospective cohort study | 30 | Influence of the Integrated Plan of PCa of the Autonomous Community of Madrid in the medical activity of a hospital based PCa unit. | Improvement in continuity of care, coordination amongst assistant bodies, increase in mean stay at the PCUa, increase in number of home deaths, etc. | PC home care improves continuity in care of patients. Transfers to intermediate stay care centers from 112 (14,7 %) to 144 (21,5 %) (p = 0,001) and deaths at home increased from 61 (8 %) to 97 (14,5 %) (p = 0,000). Median stay at the PCU a decreased from 7 to 6 days (p = 0,155). |
Navarro et al., 2011.[11] | Advanced Chronic Disease | Observational, retrospective and descriptive study | 26 | EoLCa of advanced chronic non-cancer patients identified by multidimensional evaluation and interdisciplinary teamwork in a medium and long term hospital. | General data, terminal criteria, diagnostic and prognostic information, development of advance directives, limiting levels of effort care, times from admission, risk of complicated bereavement. | Identification of advanced chronic non-cancer patients and their needs by interdisciplinary teamwork enabled indication for PC soon after admission (median 7 days, 15 days pure palliative treatment) and ensured appropriate care during their stay (prognostic to the family, increased from 65 % to 92 %; advance directives from 25 % to 96 %; adequacy level of care effort increased; Zarit score decreased, and risk of a complicated bereavement, 5 %. |
aAbbreviations: PC palliative care, PCU palliative care unit, EoLC end of life care