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Training general practitioners contributes to the identification of palliative patients and to multidimensional care provision: secondary outcomes of an RCT

Thoonsen, Bregje; Gerritzen, Stefanie H. M.; Vissers, Kris C.; Verhagen, Stans; van Weel, Chris; Groot, Marieke; Engels, Yvonne

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Introduction To support general practitioners (GPs) in providing early palliative care to patients with cancer, chronic obstructive pulmonary disease or heart failure, the RADboud university medical centre indicators for PAlliative Care needs tool (RADPAC) and a training programme were developed to identify such patients and to facilitate anticipatory palliative care planning. We studied whether GPs, after 1 year of training, identified more palliative patients, and...[Show more]

dc.contributor.authorThoonsen, Bregje
dc.contributor.authorGerritzen, Stefanie H. M.
dc.contributor.authorVissers, Kris C.
dc.contributor.authorVerhagen, Stans
dc.contributor.authorvan Weel, Chris
dc.contributor.authorGroot, Marieke
dc.contributor.authorEngels, Yvonne
dc.date.accessioned2020-11-27T03:30:16Z
dc.identifier.issn2045-4368
dc.identifier.urihttp://hdl.handle.net/1885/216457
dc.description.abstractIntroduction To support general practitioners (GPs) in providing early palliative care to patients with cancer, chronic obstructive pulmonary disease or heart failure, the RADboud university medical centre indicators for PAlliative Care needs tool (RADPAC) and a training programme were developed to identify such patients and to facilitate anticipatory palliative care planning. We studied whether GPs, after 1 year of training, identified more palliative patients, and provided multidimensional and multidisciplinary care more often than untrained GPs. Methods We performed a survey 1 year after GPs in the intervention group of an RCT were trained. With the help of a questionnaire, all 134 GPs were asked how many palliative patients they had identified, and whether anticipatory care was provided. We studied number of identified palliative patients, expected lifetime, contact frequency, whether multidimensional care was provided and which other disciplines were involved. Results Trained GPs identified more palliative patients than did untrained GPs (median 3 vs 2; p 0.046) and more often provided multidimensional palliative care (p 0.024). In both groups, most identified patients had cancer. Conclusions RADPAC sensitises GPs in the identification of palliative patients. Trained GPs more often provided multidimensional palliative care. Further adaptation and evaluation of the tools and training are necessary to improve early palliative care for patients with organ failure. Trial registration number NTR2815; post results
dc.description.sponsorshipThe study was financially supported by a grant from the Netherlands Organisation for Health Research and Development—ZonMw Foundation. Grant number 1150.0002.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBMJ Publishing Group Ltd
dc.rights© 2019 BMJ Publishing Group Ltd
dc.sourceBMJ Supportive Palliative Care
dc.titleTraining general practitioners contributes to the identification of palliative patients and to multidimensional care provision: secondary outcomes of an RCT
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume9
dc.date.issued2019
local.identifier.absfor111709 - Health Care Administration
local.identifier.ariespublicationu3102795xPUB1014
local.publisher.urlhttp://spcare.bmj.com/
local.type.statusPublished Version
local.contributor.affiliationThoonsen, Bregje, Radboud University Nijmegen Medical Centre
local.contributor.affiliationGerritzen, Stefanie H. M., Radboud University Medical Center
local.contributor.affiliationVissers, Kris C., Radboud University Nijmegen Medical Centre
local.contributor.affiliationVerhagen, Stans, Radboud University Nijmegen Medical Centre
local.contributor.affiliationVan Weel, Chris, College of Health and Medicine, ANU
local.contributor.affiliationGroot, Marieke, Radboud University Nijmegen Medical Centre
local.contributor.affiliationEngels, Yvonne, Radboud University Nijmegen Medical Centre
local.description.embargo2037-12-31
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage8
local.identifier.doi10.1136/bmjspcare-2015-001031
local.identifier.absseo920211 - Palliative Care
dc.date.updated2022-07-03T08:15:59Z
local.identifier.scopusID2-s2.0-85061861673
local.identifier.thomsonIDWOS:000471863100018
CollectionsANU Research Publications

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