Information management and quality of palliative care in general practices: Secondary analysis of a UK study

Article English OPEN
Carrington, L. ; Bath, P.A. ; Hughes, P. ; Ahmed, N. ; Noble, B. (2013)
  • Publisher: SAGE Publications

Palliative care seeks to improve quality of life for patients with terminal, chronic or life-long, illnesses. In the UK, most palliative care occurs in primary care, for example, through general practices. A recent national UK survey of palliative care within general practices concluded that practices that utilized recognized initiatives to promote palliative care demonstrated better clinical care and higher perceived quality of palliative care. This paper reports on secondary analyses from that survey to investigate the management of information related to palliative care within practices. Relatively high levels of information provision to families and carers were reported, over two-thirds of practices reported having unified records for palliative care patients and over 90% of practices reported having a cancer/palliative care register that was fully or mostly operational. Larger practices, those using the Gold Standards Framework and practices using unified record keeping for palliative care, were independently more likely to give information to families and carers and were more likely to have a mostly or fully operational palliative care register. When testing for the relationship between measures of the structures and processes of information management and the perceived quality of care, as an outcome, within the practices, practices with a fully operational palliative care register and practices that had higher scores on the record-keeping scale were more likely to rate the quality of their palliative care as very good.
  • References (37)
    37 references, page 1 of 4

    [1] National Audit Office. End of life care. 2008. London: The Stationary Office.

    [2] National Institute for Clinical Excellence. Improving supportive and palliative care for adults with cancer: the manual. 2004. London: National Institute for Clinical Excellence.

    [3] Department of Health. End of Life Care Strategy - promoting high quality care for all adults at the end of life. 2008. London: Department of Health.

    [4] Hughes PM, Bath PA, Ahmed N and Noble B. What progress has been made towards implementing national guidance on end of life care? A national survey of UK general practices. Palliative Medicine 2010; 24: 68-78.

    [5] Kennedy S, Seymour J, Almack K, Cox, K. Key stakeholders' experiences and views of the NHS End of Life Care Programme: findings from a national evaluation. Palliative Medicine 2009; 23 (4), 283-294.

    [6] Department of Health. The new NHS: modern, dependable. 1997. London: Department of Health.

    [7] Townsend J, Frank A, Fermont D, Dyer S, Karran O, Walgrove A, Piper M. Terminal cancer care and patients' preference for place of death: a prospective study. British Medical Journal 1990; 301 (6749), 415-417.

    [8] Murray S, Boyd K, Sheikk A, Thomas K, Higginson I. Developing primary palliative care. British Medical Journal 2004; 329 (7474), 1056-1057.

    [9] Levack P, Dryden H, Paterson F. Community palliative care services are not sufficiently funded. British Medical Journal 2005; 330 (7481), 42.

    [10] Lloyd-Williams M, Carter Y. The need for palliative care to remain primary care focused. Family Practice, 2002; 19 (3), 219-220.

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    16
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    White Rose Research Online - IRUS-UK 0 16
Share - Bookmark