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Centre for Policy on Ageing | |
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Developing a model of short-term integrated palliative and supportive care for frail older people in community settings
— perspectives of older people, carers and other key stakeholders | | Author(s) | Anna E Bone |
| Journal title | Age and Ageing, vol 45, no 6, November 2016 |
| Publisher | Oxford University Press, November 2016 |
| Pages | pp 863-873 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Ageing process ; Ill health ; Chronic illness ; Palliative care ; Community care ; Short term ; Integration ; Evaluation. |
| Annotation | Understanding how best to provide palliative care for frail older people with non-malignant conditions is an international priority. The present study aimed to develop a community-based episodic model of short-term integrated palliative and supportive care (SIPS) based on the views of service users and other key stakeholders in the United Kingdom. The study carried out transparent expert consultations with health professionals, voluntary sector and carer representatives including a consensus survey. In addition, focus groups with older people and carers were used to generate recommendations for the SIPS model. Discussions focused on three key components of the model: potential benefit of SIPS, timing of delivery and processes of integrated working between specialist palliative care and generalist practitioners. Content and descriptive analysis was employed and findings were integrated across the data sources. In all, two expert consultations, a consensus survey and three focus groups were conducted. Potential benefits of SIPS included holistic assessment, opportunity for end of life discussion, symptom management and carer reassurance. Older people and carers advocated early access to SIPS, while other stakeholders proposed delivery based on complex symptom burden. A priority for integrated working was the assignment of a key worker to co-ordinate care, but the assignment criteria remained uncertain. Key stakeholders agreed that a model of SIPS for frail older people with non-malignant conditions had potential benefits within community settings, but differed in opinion on the optimal timing and indications for this service. These findings highlight the importance of consulting all key stakeholders in model development prior to feasibility evaluation. (JL). |
| Accession Number | CPA-170106234 A |
| Classmark | BG: CH: CI: LVB: PA: 4P: TO: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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