Palliative Care Consultation Trajectories

Elissa Kozlov; Brian D. Carpenter; Michael Thorsten; Mark Heiland; Anupam Agarwal

doi:10.1177/1049909113491455

Palliative Care Consultation Trajectories

Elissa Kozlov
, Brian D. Carpenter
, Michael Thorsten
, Mark Heiland
, Anupam Agarwal

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Background:Palliative care consultations teams (PCCTs) promote comprehensive health but only if the PCCT can influence actual care. The purpose of this study is to document the types of recommendations made by a PCCT, determine the rates at which recommendations are implemented, and identify the factors related to implementation.Results:The mean number of recommendations per patient was 1.44 (standard deviation = 1.81), and 57% of the recommendations were implemented. Discharge and goals of care recommendations were significantly more likely to be implemented than recommendations for pain, symptom management, and consultation of other services.Conclusions:Although PCCTs may have suggestions about how to guide care, many of those recommendations are not implemented. Future research is needed to understand how to maximize the impact of PCCTs.

Original language	English
Pages (from-to)	459-463
Number of pages	5
Journal	American Journal of Hospice and Palliative Medicine
Volume	31
Issue number	4
DOIs	https://doi.org/10.1177/1049909113491455
State	Published - Jun 2014

Keywords

consultation
health services
interdisciplinary communication
interdisciplinary teams
palliative care
service utilization

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10.1177/1049909113491455

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title = "Palliative Care Consultation Trajectories",

abstract = "Background:Palliative care consultations teams (PCCTs) promote comprehensive health but only if the PCCT can influence actual care. The purpose of this study is to document the types of recommendations made by a PCCT, determine the rates at which recommendations are implemented, and identify the factors related to implementation.Results:The mean number of recommendations per patient was 1.44 (standard deviation = 1.81), and 57\% of the recommendations were implemented. Discharge and goals of care recommendations were significantly more likely to be implemented than recommendations for pain, symptom management, and consultation of other services.Conclusions:Although PCCTs may have suggestions about how to guide care, many of those recommendations are not implemented. Future research is needed to understand how to maximize the impact of PCCTs.",

keywords = "consultation, health services, interdisciplinary communication, interdisciplinary teams, palliative care, service utilization",

author = "Elissa Kozlov and Carpenter, \{Brian D.\} and Michael Thorsten and Mark Heiland and Anupam Agarwal",

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month = jun,

doi = "10.1177/1049909113491455",

language = "English",

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pages = "459--463",

journal = "American Journal of Hospice and Palliative Medicine",

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T1 - Palliative Care Consultation Trajectories

AU - Kozlov, Elissa

AU - Carpenter, Brian D.

AU - Thorsten, Michael

AU - Heiland, Mark

AU - Agarwal, Anupam

PY - 2014/6

Y1 - 2014/6

N2 - Background:Palliative care consultations teams (PCCTs) promote comprehensive health but only if the PCCT can influence actual care. The purpose of this study is to document the types of recommendations made by a PCCT, determine the rates at which recommendations are implemented, and identify the factors related to implementation.Results:The mean number of recommendations per patient was 1.44 (standard deviation = 1.81), and 57% of the recommendations were implemented. Discharge and goals of care recommendations were significantly more likely to be implemented than recommendations for pain, symptom management, and consultation of other services.Conclusions:Although PCCTs may have suggestions about how to guide care, many of those recommendations are not implemented. Future research is needed to understand how to maximize the impact of PCCTs.

AB - Background:Palliative care consultations teams (PCCTs) promote comprehensive health but only if the PCCT can influence actual care. The purpose of this study is to document the types of recommendations made by a PCCT, determine the rates at which recommendations are implemented, and identify the factors related to implementation.Results:The mean number of recommendations per patient was 1.44 (standard deviation = 1.81), and 57% of the recommendations were implemented. Discharge and goals of care recommendations were significantly more likely to be implemented than recommendations for pain, symptom management, and consultation of other services.Conclusions:Although PCCTs may have suggestions about how to guide care, many of those recommendations are not implemented. Future research is needed to understand how to maximize the impact of PCCTs.

KW - consultation

KW - health services

KW - interdisciplinary communication

KW - interdisciplinary teams

KW - palliative care

KW - service utilization

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JO - American Journal of Hospice and Palliative Medicine

JF - American Journal of Hospice and Palliative Medicine

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Palliative Care Consultation Trajectories

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