Promoting patient centred palliative care through case conferencing

dc.contributor.author Shelby-James, Tania Maree
dc.contributor.author Currow, David Christopher
dc.contributor.author Phillips, Paddy Andrew
dc.contributor.author Williams, Helena
dc.contributor.author Abernethy, Amy Pickar
dc.date.accessioned 2013-08-28T05:33:52Z
dc.date.available 2013-08-28T05:33:52Z
dc.date.issued 2007-11
dc.description.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. en
dc.identifier.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. en
dc.identifier.issn 0300-8495
dc.identifier.uri http://hdl.handle.net/2328/27016
dc.language.iso en
dc.oaire.license.condition.license In Copyright
dc.publisher Royal Australian College of General Practitioners en
dc.subject Palliative care
dc.title Promoting patient centred palliative care through case conferencing en
dc.type Article en
local.contributor.authorOrcidLookup Currow, David Christopher: https://orcid.org/0000-0003-1988-1250 en_US
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