TY - JOUR
T1 - Methods for Improving the Quality of Palliative Care Delivery
T2 - A Systematic Review
AU - Lau, Brandyn D.
AU - Aslakson, Rebecca A.
AU - Wilson, Renee F.
AU - Fawole, Oluwakemi A.
AU - Apostol, Colleen C.
AU - Martinez, Kathryn A.
AU - Vollenweider, Daniela
AU - Bass, Eric B.
AU - Dy, Sydney E.Morss
PY - 2014/3
Y1 - 2014/3
N2 - Background: The effectiveness for improving the outcomes across palliative care domains remains unclear. We conducted a systematic review of different types of quality improvement interventions relevant to palliative care. Methods: We searched PubMed, CINAHL, PsycINFO, and Cochrane for relevant articles published between 2000 and 2011. Results: A total of 10 randomized controlled trials and 7 nonrandomized controlled trials were included. Of the 5 studies using relay of clinical information, 1 reported significant improvement in patient quality of life. Of the 5 studies targeting education and self-management, 4 found significant improvements in quality of life or patient symptoms. Conclusion: A minority of quality improvement interventions have succeeded in improving the quality of palliative care delivery. More studies are needed on specific quality improvement types, including organizational change and multiple types of interventions.
AB - Background: The effectiveness for improving the outcomes across palliative care domains remains unclear. We conducted a systematic review of different types of quality improvement interventions relevant to palliative care. Methods: We searched PubMed, CINAHL, PsycINFO, and Cochrane for relevant articles published between 2000 and 2011. Results: A total of 10 randomized controlled trials and 7 nonrandomized controlled trials were included. Of the 5 studies using relay of clinical information, 1 reported significant improvement in patient quality of life. Of the 5 studies targeting education and self-management, 4 found significant improvements in quality of life or patient symptoms. Conclusion: A minority of quality improvement interventions have succeeded in improving the quality of palliative care delivery. More studies are needed on specific quality improvement types, including organizational change and multiple types of interventions.
KW - comparative effectiveness
KW - end of life
KW - quality improvement
KW - systematic review
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U2 - 10.1177/1049909113482039
DO - 10.1177/1049909113482039
M3 - Article
C2 - 23532404
AN - SCOPUS:84893974821
SN - 1049-9091
VL - 31
SP - 202
EP - 210
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 2
ER -