Promoting patient centred palliative care through case conferencing
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Date
2007-11
Authors
Shelby-James, Tania Maree
Currow, David Christopher
Phillips, Paddy Andrew
Williams, Helena
Abernethy, Amy Pickar
Journal Title
Journal ISSN
Volume Title
Publisher
Royal Australian College of General Practitioners
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Rights Holder
Abstract
BACKGROUND
What are the characteristics of case conferences between general practitioners and specialised palliative care services
(SPCS)?
METHODS
Study participants were adults (N=461) with pain in the preceding 3 months who were referred to a SPCS and their GPs
(N=230). Patients were randomised to case conferences or routine care by SPCS.
RESULTS
One hundred and sixty-seven conferences were held; 46 patients withdrew and 142 died before the conference could be
conducted. Medicare payment was requested for 72 (43%) conferences. Median time from randomisation to case conference
was 52 days (SD: 55), and from case conference to death/end of study was 79 days (SD: 166). Twenty-five percent of
conferences had over three health professionals participant; patients and/or their caregivers participated in 91%. Average
conference duration was 39 minutes (SD: 13). Mean conference length did not increase when more health professionals were
present (3 vs. >3, 39 [SD: 14] vs. 42 [SD 11] minutes, p=0.274), nor when patients/caregivers were present (present vs. absent,
39 [SD: 13] vs. 44 [SD: 14] minutes, p=0.159).
DISCUSSION
Case conferencing involving SPCS, the GP, other health professionals and the patient can be an efficient part of routine care.
Description
Keywords
Palliative care
Citation
Shelby-James, T.M., Currow, D.C., Phillips, P.A., Williams, H. and Abernethy, A.P., 2007. Promoting patient centred palliative care through case conferencing. Australian Family Physician, 36(11), 961-964.