Impact of Interprofessional Training and Co-ordination on Early Identification and Proactive Approach to End-of-life Situations in the Context of Primary Care

Study Overview
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Brief Summary
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More than 300,000 people die each year in France from a disease that may require palliative care. Nevertheless, only a small proportion of these patients are able to access this care, in particular because of a too late identification. While several factors may hinder access to specialized palliative care resources, one of the major barriers to the initiation of palliative care, and particularly to the implementation of quality end-of-life care, Remains the failure to recognize that patients with advanced chronic illness are actually approaching the end of their lives. However, it is now clearly established that early integration of palliative care in the care of people living with a serious, incurable and progressive disease: has an impact on the quality (and sometimes the expectation) of life of these people, avoids aggressive treatments and unplanned hospitalizations, is associated with lower health costs than other end-of-life patients. Primary health care providers have a major role to play in facilitating access to palliative care, but their practice has been hampered in our country by the fragmented and poorly coordinated nature of primary care and Negligible in terms of training. However, they remain the first contact of the patients with the system of care, and are also structuring for the continuation of the patient's journey within the health system. The first hypothesis is that the work of genuine interprofessional primary care teams in multi-professional health centers (MSPs), coupled with adequate training in the use of simple tools, can contribute to the early identification of patients approaching End of life, to meet their palliative care needs. However, various European programs (Gold Standards Framework in the UK, NECPAL in Catalonia, RADPAC in the Netherlands) have shown that identification alone is not enough to increase access to specialized palliative care. The second hypothesis is that it must be articulated for this with a training of the professionals to carry out conversations of anticipated planning of the care with their patients.

Official Title
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Impact of Interprofessional Training and Co-ordination on Early Identification and Proactive Approach to End-of-life Situations in the Context of Primary Care

Conditions
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Interprofessional Relations, End-of-life Situations

Intervention / Treatment
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* Other: Patients approaching the end of their lives


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being a multi-professional health care home (MSP) At least one specialized palliative care resource available in the MSP territory (USP, EMSP, palliative care network) Exclusion Criteria: Health centers, group medical practices, clinics Less than 3 general practitioners (GPs) and / or absence of nurses (FDI) within the MSP
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Usual practice<br> | Other: Patients approaching the end of their lives<br>* To determine whether the use of simple tools by a primary care team for the early identification of end-of-life patients can improve access to specialized palliative care resources<br>|
| IPEM<br>Interprofessional Training in Early Identification and Multidimensional Evaluation (IPEM) of patients' palliative needs | Other: Patients approaching the end of their lives<br>* To determine whether the use of simple tools by a primary care team for the early identification of end-of-life patients can improve access to specialized palliative care resources<br>|
| IPEM and PAS<br>Interprofessional Early Identification Training and Multidimensional Assessment (IPEM) of patients' palliative needs, and to the Early Care Planning (SAP) | Other: Patients approaching the end of their lives<br>* To determine whether the use of simple tools by a primary care team for the early identification of end-of-life patients can improve access to specialized palliative care resources<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients who have died from a condition that may require palliative care | Proportion of patients who have died from a condition that may require palliative care | 3 years |