Community Palliative Care: What are the Best Models?

IF 3.8 2区医学 Q2 ONCOLOGY

Current Treatment Options in Oncology Pub Date : 2024-11-13 DOI:10.1007/s11864-024-01278-1

Claire Stokes, Phillip Good

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引用次数: 0

Abstract

Opinion statement: Palliative care seeks to address the physical, psychosocial and spiritual concerns of patients with a life limiting illness and their caregivers. Early referral to palliative care improves symptoms and is the standard of care. This paper evaluates the evidence for different models of community palliative care and looks at the effects of homecare, hospice programs and residential aged care facility (RACF) interventions on symptom management, home death rate and acute health service utilization. It also examines the impact of COVID-19, telehealth, integration and staffing models on the efficacy of community palliative care. Evidence suggests that community palliative care increases the rate of death at home and may improve satisfaction with care, but effect on symptoms and acute health care utilization are less certain. Enrolment in a hospice program may decrease hospitalizations and improve satisfaction. RACF staff training interventions to improve the quality of palliative care provided to residents show mixed results across all indicators. COVID-19 saw a relative increase in the demand for community palliative care, as people opted out of the hospital system. Models of community palliative care that facilitate integration, support primary health providers, and promote technological innovation are worthy of further research.

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社区姑息关怀：最佳模式是什么？

意见陈述：姑息关怀旨在解决限制生命的疾病患者及其照护者在身体、社会心理和精神方面的问题。及早转诊至姑息关怀服务可改善症状，是护理的标准。本文评估了社区姑息关怀不同模式的证据，并研究了居家护理、临终关怀项目和养老院（RACF）干预对症状管理、居家死亡率和急性病医疗服务利用率的影响。研究还探讨了 COVID-19、远程医疗、整合和人员配置模式对社区姑息关怀疗效的影响。有证据表明，社区姑息关怀可提高居家死亡率，并可改善对关怀服务的满意度，但对症状和急性期医疗服务利用率的影响则不太确定。参加临终关怀项目可以减少住院次数并提高满意度。RACF 员工培训干预措施旨在提高为住院者提供的姑息关怀的质量，在所有指标上的结果不一。COVID-19 发现，由于人们选择离开医院系统，对社区姑息关怀的需求相对增加。促进整合、支持初级医疗服务提供者并推动技术创新的社区姑息关怀模式值得进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Treatment Options in Oncology ONCOLOGY-

CiteScore

7.10

自引率

0.00%

发文量

113

审稿时长

>12 weeks

期刊介绍： This journal aims to review the most important, recently published treatment option advances in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to cancer treatment. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as endocrine tumors, lymphomas, neuro-oncology, and cancers of the breast, head and neck, lung, skin, gastrointestinal tract, and genitourinary region. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known oncologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.