RT Journal Article
SR Electronic
T1 Enhancing family physician capacity to deliver quality palliative home care
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 1703
OP 1703.e7
VO 54
IS 12
A1 Denise Marshall
A1 Doris Howell
A1 Kevin Brazil
A1 Michelle Howard
A1 Alan Taniguchi
YR 2008
UL http://www.cfp.ca/content/54/12/1703.abstract
AB PROBLEM BEING ADDRESSED Family physicians face innumerable challenges to delivering quality palliative home care to meet the complex needs of end-of-life patients and their families. OBJECTIVE OF PROGRAM To implement a model of shared care to enhance family physicians’ ability to deliver quality palliative home care, particularly in a community-based setting. PROGRAM DESCRIPTION Family physicians in 3 group practices (N = 21) in Ontario’s Niagara West region collaborated with an interprofessional palliative care team (including a palliative care advanced practice nurse, a palliative medicine physician, a bereavement counselor, a psychosocial-spiritual advisor, and a case manager) in a shared-care partnership to provide comprehensive palliative home care. Key features of the program included systematic and timely identification of end-of-life patients, needs assessments, symptom and psychosocial support interventions, regular communication between team members, and coordinated care guided by outcome-based assessment in the home. In addition, educational initiatives were provided to enhance family physicians’ knowledge and skills. CONCLUSION Because of the program, participants reported improved communication, effective interprofessional collaboration, and the capacity to deliver palliative home care, 24 hours a day, 7 days a week, to end-of-life patients in the community.