Improving hospital-based end of life care processes and outcomes: a systematic review of research output, quality and effectiveness

BMC Palliative Care
Amy WallerR Sanson-Fisher

Abstract

As in other areas of health delivery, there is a need to ensure that end-of-life care is guided by patient centred research. A systematic review was undertaken to examine the quantity and quality of data-based research aimed at improving the (a) processes and (b) outcomes associated with delivering end-of-life care in hospital settings. Medline, EMBASE and Cochrane databases were searched between 1995 and 2015 for data-based papers. Eligible papers were classified as descriptive, measurement or intervention studies. Intervention studies were categorised according to whether the primary aim was to improve: (a) end of life processes (i.e. end-of-life documentation and discussions, referrals); or (b) end-of-life outcomes (i.e. perceived quality of life, health status, health care use, costs). Intervention studies were assessed against the Effective Practice and Organisation of Care methodological criteria for research design, and their effectiveness examined. A total of 416 papers met eligibility criteria. The number increased by 13% each year (p < 0.001). Most studies were descriptive (n = 351, 85%), with fewer measurement (n = 17) and intervention studies (n = 48; 10%). Only 18 intervention studies (4%) met EPOC design criteria....Continue Reading

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Citations

Sep 29, 2017·Current Opinion in Supportive and Palliative Care·Urška LunderHana Kodba-Čeh
Feb 25, 2018·BMJ Quality & Safety·Bo Van den BulckeDominique D Benoit
Feb 23, 2019·Western Journal of Nursing Research·Zahra RahemiDavid Newman
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Sep 6, 2020·Journal of Advanced Nursing·Amy WallerRobert Sanson-Fisher
Aug 20, 2021·Evaluation and Program Planning·Donna M Wilson, Begoña Errasti-Ibarrondo
Jul 22, 2018·The Lancet. HIV·Richard Harding

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