Effectiveness Of Palliative Care Initiation in The Emergency Department in Reducing Healthcare Utilisation Among Adults with Life-limiting Illnesses: A Literature Review.
Introduction This review examined current evidence regarding the effectiveness of palliative care (PC) initiation in the emergency department (ED) in reducing healthcare utilisation among adults with life-limiting illnesses (LLIs). Method A literature search was executed using PubMed, CINAHL, Cochra...
| Publicado en: | Singapore Nursing Journal Vol. 51; no. 1; pp. 21 - 45 |
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| Autores principales: | , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Singapore Nurses Association
Jan-Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181788086&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181788086 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02182475 IRZ jtl: Singapore Nursing Journal issn: 02182475 maglogo: N pubinfo: dt: Jan-Apr2024 vid: 51 iid: 1 pid: 13781 pub: Singapore Nurses Association artinfo: ui: 181788086 181788086 181788086 181788086 ppf: 21 ppct: 24 formats: fmt: @attributes: type: P tig: atl: Effectiveness Of Palliative Care Initiation in The Emergency Department in Reducing Healthcare Utilisation Among Adults with Life-limiting Illnesses: A Literature Review. aug: au: Yuan Xin WONG Yen Tjuin Eugene TEOH affil: BSc (Hons) in Nursing, RN. Senior Staff Nurse, Woodlands Health, Singapore sug: subj: Palliative Care Evaluation Emergency Service Health Resource Utilization Terminally Ill Patients Psychosocial Factors Outcomes (Health Care) Human Adult Middle Age Aged Aged, 80 and Over Systematic Review PubMed CINAHL Database Cochrane Library Referral and Consultation Hospice Care Length of Stay Intensive Care Units Patient Admission Health Care Costs Patient Satisfaction Checklists Health Services Accessibility Ventilator Patients Quality of Health Care Cost Savings Quality of Life Descriptive Statistics Patient Centered Care Monitoring, Physiologic Physician-Patient Relations Communication Decision Making, Clinical Individualized Medicine Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Introduction This review examined current evidence regarding the effectiveness of palliative care (PC) initiation in the emergency department (ED) in reducing healthcare utilisation among adults with life-limiting illnesses (LLIs). Method A literature search was executed using PubMed, CINAHL, Cochrane Library, and ScienceDirect. Studies that assessed the efficacy of PC interventions implemented in the ED were included. These interventions were precisely characterised as referring patients to PC specialist services immediately, direct referral to PC or hospice care, consulting the PC service for ED patients, or administering PC interventions while the patient was still in the ED. The outcome of interest focuses on the effectiveness of ED-based PCs in reducing healthcare utilisation. Results Three themes were identified: (i) hospital and ED length of stay (LOS), (ii) Intensive Care Unit (ICU) admission rates, and (iii) healthcare costs and utilisation of healthcare resources. The findings suggest that initiating PC in the ED holds promise as a strategy to optimise healthcare utilisation and enhance the care experience for this vulnerable patient population. Conclusion The PC initiation in the ED significantly reduces healthcare utilisation metrics. However, its impact on reducing avoidable acute admissions remains uncertain. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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