Setting Regional Priorities for Palliative and End-of-Life Care Research Using a Delphi Technique Approach.

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Nikolaos Efstathiou, Ping Guo, Wendy Walker, John I MacArtney, Cara Bailey
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引用次数: 0

Abstract

Objective: Identifying research priorities is very important for palliative and end-of-life care to ensure research is focused on evidence gaps. This project aimed to identify and prioritise palliative and end-of-life care research areas within the West Midlands region in United Kingdom (UK).

Methods: A modified Delphi technique approach was used with palliative care stakeholders. The first round was item generation via rapid interviews. Data were analysed using content analysis and all the items were grouped into main categories. For round two, an online survey was conducted to present all the items from round one, and stakeholders were asked to rate the priority of items on a Likert-type scale (1 = not a priority to 7 = essential priority). Items that achieved consensus in round two were presented to the third round, where stakeholders ranked them in descending order.

Results: We completed and analysed 56 rapid interviews which resulted in 158 research items under 15 categories. The research items were rated by 30 stakeholders and seven items which reached consensus were subsequently ranked in order by 45 stakeholders. The highest ranked item was 'Integrated care systems to prevent crisis', followed by three research items related to 'equity' in palliative care.

Conclusions: Our research priorities, although unique for our region, mirror previously research priorities from other regions and countries. This suggests issues of integration and equity in palliative and end-of-life care remain unresolved, despite ongoing initiatives and research to address these issues.

使用德尔菲技术方法确定姑息治疗和临终关怀研究的地区优先事项。
目的:确定研究重点对姑息关怀和临终关怀非常重要,可确保研究重点放在证据缺口上。本项目旨在确定英国西米德兰兹地区姑息关怀和生命末期关怀研究领域的优先次序:方法:对姑息关怀利益相关者采用了改良的德尔菲技术方法。第一轮是通过快速访谈生成项目。采用内容分析法对数据进行分析,并将所有项目归入主要类别。在第二轮中,进行了一次在线调查,以呈现第一轮中的所有项目,并要求利益相关者以李克特(Likert)量表对项目的优先级进行评分(1 = 不是优先级,7 = 必不可少的优先级)。在第二轮中达成共识的项目被提交到第三轮,利益相关者按降序排列这些项目:我们完成并分析了 56 次快速访谈,得出 158 个研究项目,分为 15 个类别。30 位利益相关者对这些研究项目进行了评分,达成共识的 7 个项目随后由 45 位利益相关者进行了排序。排名最高的项目是 "预防危机的综合关怀系统",其次是与姑息关怀中的 "公平 "相关的三个研究项目:我们的研究重点虽然在本地区独一无二,但与其他地区和国家的研究重点如出一辙。这表明,姑息关怀和临终关怀中的整合与公平问题仍未得到解决,尽管目前正在开展相关活动和研究来解决这些问题。
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来源期刊
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.
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