Palliative care in the home: a scoping review of study quality, primary outcomes, and thematic component analysis.

作者: Mark Hofmeister , Ally Memedovich , Laura E. Dowsett , Laura Sevick , Tamara McCarron

DOI: 10.1186/S12904-018-0299-Z

关键词:

摘要: The aim of palliative care is to improve the quality life patients and families through prevention relief suffering. Frequently, may choose receive in home. objective this paper summarize primary outcomes measured within home literature. This will synthesize current state literature inform future work. A scoping review was completed using PRISMA guidelines. PubMed, Embase, CINAHL, Web Science, Cochrane Library, EconLit, PsycINFO, Centre for Reviews Dissemination, Database Abstracts Effects, National Health Service Economic Evaluation were searched from inception August 2016. Inclusion criteria included: 1) provided “home patient” as defined by study, 2) reported, 3) reported original data. Thematic component analysis categorize interventions. Fifty-three studies formed final data set. varied extensively. Five themes identified: accessibility healthcare, caregiver support, individualized patient centered care, multidisciplinary provision, improvement. Primary resource use, symptom burden, life, satisfaction, distress, place death, cost analysis, or described experiences. majority moderate unclear quality. There robust varying quality, assessing different components interventions, measuring outcomes. To be meaningful patients, these interventions need consistently evaluated with that matter patients. Future research could focus on reaching a consensus evaluate

参考文章(58)
Julian PT Higgins, Douglas G Altman, Peter C Gøtzsche, Peter Jüni, David Moher, Andrew D Oxman, Jelena Savović, Kenneth F Schulz, Laura Weeks, Jonathan AC Sterne, The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials BMJ. ,vol. 343, ,(2011) , 10.1136/BMJ.D5928
Morag C. Farquhar, Gunn E. Grande, Stephen I G Barclay, Chris J. Todd, Valued aspects of primary palliative care: content analysis of bereaved carers' descriptions. British Journal of General Practice. ,vol. 54, pp. 772- 778 ,(2004)
Richard Brumley, Susan Enguidanos, Paula Jamison, Rae Seitz, Nora Morgenstern, Sherry Saito, Jan McIlwane, Kristine Hillary, Jorge Gonzalez, Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care. Journal of the American Geriatrics Society. ,vol. 55, pp. 993- 1000 ,(2007) , 10.1111/J.1532-5415.2007.01234.X
D Houttekier, L Deliens, J Cohen, JA Hewitt, DM Wilson, The Preferred Place of Last Days: Results of a Representative Population-Based Public Survey Journal of Palliative Medicine. ,vol. 16, pp. 502- 508 ,(2013) , 10.1089/JPM.2012.0262
Kevin Brazil, Alan Taniguchi, Doris Howell, Denise Marshall, Michelle Howard, Enhancing family physician capacity to deliver quality palliative home care: An end-of-life, shared-care model Canadian Family Physician. ,vol. 54, pp. 1703- ,(2008)
Kelli I Stajduhar, Betty Davies, Variations in and factors influencing family members' decisions for palliative home care. Palliative Medicine. ,vol. 19, pp. 21- 32 ,(2005) , 10.1191/0269216305PM963OA
Barbara A Jack, Catherine R Baldry, Karen E Groves, Alison Whelan, Janice Sephton, Kathryn Gaunt, Supporting home care for the dying: an evaluation of healthcare professionals' perspectives of an individually tailored hospice at home service. Journal of Clinical Nursing. ,vol. 22, pp. 2778- 2786 ,(2013) , 10.1111/J.1365-2702.2012.04301.X
B.H. Thomas, D. Ciliska, M. Dobbins, S. Micucci, A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews on Evidence-based Nursing. ,vol. 1, pp. 176- 184 ,(2004) , 10.1111/J.1524-475X.2004.04006.X