Primary health care research & development · 2026
Impact of a complex intervention in primary care for patients with palliative care needs in their healthcare utilization: a before-after study.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Seiça Cardoso Carlos, Prazeres Filipe, Nunes Cátia, Simões Pedro, Aires Carolina, Rita Patricia, Penetra Joana, Lopes Paulo, Alcobia Sara, Gomes Barbara
Аннотация
OBJECTIVES: Palliative care development in primary care is crucial worldwide. This study reports on the secondary outcomes of a study that evaluated whether a complex intervention in primary care for patients with palliative care needs impacted their healthcare utilization.
METHODS: A before-after study was conducted with family physicians and patients with palliative care needs. Physicians received palliative care training and implemented a new primary palliative care consultation model. Healthcare utilization in the 12 weeks before, during, and after the intervention was compared.
RESULTS: We analysed healthcare utilization for 33 patients with advanced disease. Pre-intervention, there were high rates of no medical consultations, emergency visits, hospital admissions, and outpatient referrals (84.8%, 75.8%, 81.8%, and 84.8%, respectively). Despite slight reductions during and after the intervention, the differences were not statistically significant.
CONCLUSIONS: The reduction in healthcare utilization was not statistically significant, but the data inform sample size calculations for future economic analyses.
TRIAL REGISTRATION: ClinicalTrials.gov ID - NCT05244590. Registration: 14th February 2022.
METHODS: A before-after study was conducted with family physicians and patients with palliative care needs. Physicians received palliative care training and implemented a new primary palliative care consultation model. Healthcare utilization in the 12 weeks before, during, and after the intervention was compared.
RESULTS: We analysed healthcare utilization for 33 patients with advanced disease. Pre-intervention, there were high rates of no medical consultations, emergency visits, hospital admissions, and outpatient referrals (84.8%, 75.8%, 81.8%, and 84.8%, respectively). Despite slight reductions during and after the intervention, the differences were not statistically significant.
CONCLUSIONS: The reduction in healthcare utilization was not statistically significant, but the data inform sample size calculations for future economic analyses.
TRIAL REGISTRATION: ClinicalTrials.gov ID - NCT05244590. Registration: 14th February 2022.