scholarly journals Drilling It Down: Designing Workshops to Practice Generalist Palliative Care Skills (TH361)

2019 ◽  
Vol 57 (2) ◽  
pp. 389
Author(s):  
Stephen Berns ◽  
Caroline Hurd ◽  
Lindsay Dow ◽  
Nicole Loving ◽  
Laura Morrison
Keyword(s):  
Palliative Care ◽  
Generalist Palliative Care

Generalist palliative care for non-cancer patients

Der Schmerz ◽  
2016 ◽  
Author(s):  
K. Afshar ◽  
K. Geiger ◽  
G. Müller-Mundt ◽  
J. Bleidorn ◽  
N. Schneider
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Generalist Palliative Care

Potential Perils to the Promise of Specialty Palliative Care

2016 ◽  
Author(s):  
Robert M. Arnold
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Specialist Palliative Care ◽  
The Past ◽  
Seriously Ill Patients ◽  
Seriously Ill ◽  
Generalist Palliative Care ◽  
Care System

Despite the growth of specialty palliative care over the past twenty years, the experience of most seriously ill patients in America has not changed. Although some have argued that the solution to this problem is to increase specialist palliative care (SPC), the author argues that this is a mistake. The growth of SPC may distract attention from solutions that are more likely to improve care for most seriously ill patients. SPC may decrease the quality and quantity of palliative care provided by nonspecialists by allowing the health care system to continue to deny death and “ghetto-izing” and deskilling generalist palliative care. This chapter presents these two arguments and tries to determine what changes are required to ensure that all seriously ill patients receive good palliative care, regardless of who provides the care.

Longitudinal Quality Improvement of Generalist Palliative Care Curriculum

2018 ◽  
Author(s):  
Dominic Moore ◽  
Joan Sheetz ◽  
Victoria Wilkins ◽  
Holly Spraker-Perlman
Keyword(s):  
Palliative Care ◽  
Quality Improvement ◽  
Generalist Palliative Care

scholarly journals Organization and evaluation of generalist palliative care in a Danish hospital

2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Heidi Bergenholtz ◽  
Bibi Hølge-Hazelton ◽  
Lene Jarlbaek
Keyword(s):  
Palliative Care ◽  
Danish Hospital ◽  
Generalist Palliative Care

scholarly journals How are physicians delivering palliative care? A population-based retrospective cohort study describing the mix of generalist and specialist palliative care models in the last year of life

2018 ◽  
Vol 32 (8) ◽  
pp. 1334-1343 ◽  
Author(s):  
Catherine RL Brown ◽  
Amy T Hsu ◽  
Claire Kendall ◽  
Denise Marshall ◽  
Jose Pereira ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Family Physicians ◽  
Population Based ◽  
Specialist Palliative Care ◽  
Care Services ◽  
Palliative Care Services ◽  
Generalist Palliative Care

Background: To enable coordinated palliative care delivery, all clinicians should have basic palliative care skill sets (‘generalist palliative care’). Specialists should have skills for managing complex and difficult cases (‘specialist palliative care’) and co-exist to support generalists through consultation care and transfer of care. Little information exists about the actual mixes of generalist and specialist palliative care. Aim: To describe the models of physician-based palliative care services delivered to patients in the last 12 months of life. Design: This is a population-based retrospective cohort study using linked health care administrative data. Setting/participants: Physicians providing palliative care services to a decedent cohort in Ontario, Canada. The decedent cohort consisted of all adults (18+ years) who died in Ontario, Canada between April 2011 and March 2015 ( n = 361,951). Results: We describe four major models of palliative care services: (1) 53.0% of decedents received no physician-based palliative care, (2) 21.2% received only generalist palliative care, (3) 14.7% received consultation palliative care (i.e. care from both specialists and generalists), and (4) 11.1% received only specialist palliative care. Among physicians providing palliative care ( n = 11,006), 95.3% had a generalist palliative care focus and 4.7% a specialist focus; 74.2% were trained as family physicians. Conclusion: We examined how often a coordinated palliative care model is delivered to a large decedent cohort and identified that few actually received consultation care. The majority of care, in both the palliative care generalist and specialist models, was delivered by family physicians. Further research should evaluate how different models of care impact patient outcomes and costs.

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