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Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners

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ClinicalTrials.gov Identifier: NCT02050256
Recruitment Status : Withdrawn (due to organisational changes)
First Posted : January 30, 2014
Last Update Posted : December 11, 2014
Sponsor:
Collaborators:
Danish Cancer Society
TrygFonden, Denmark
Information provided by (Responsible Party):
University of Aarhus

Brief Summary:

Background: Optimizing the basic palliative care has been shown beneficial to patients in end-of-life care, the general practitioner (GP) having a pivotal role in the health care system, providing comprehensive and continued medical care.

The aim of the study is to investigate the effect of a complex intervention in general practice on GPs' awareness of and confidence in providing end-of-life care.

Method: A follow-up study among 404 general practices in Central Denmark Region. The participating general practices will get the opportunity to receive education in palliative care and access to an electronic support, which provides advice on palliative care and an overview of the palliative population in each medical practice. The education and the support will focus on patients suffering from either metastatic cancer or chronic obstructive pulmonary disease (GOLD stage 4).

The end-of-life care delivered by the GPs to their deceased patients will be analysed, based on questionnaires to GPs and register data related to the deceased patients before and after the intervention, .

Primary outcomes: Place of death of deceased patients, time spent at home, and number of hospital admissions in the last three months of the patients' lives.

Secondary outcomes: Number and kinds of contacts between GPs and patients, use of relevant medicine and of the 'Safety Box'. Finally GPs' confidence concerning palliative care will be assessed in questionnaires.


Condition or disease Intervention/treatment
Chronic Obstructive Pulmonary Disease Metastatic Cancer Other: continuing medical education and electronic decision support Other: education and electronic support

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners in Denmark - an Intervention Study
Study Start Date : February 2014
Primary Completion Date : December 2014
Study Completion Date : December 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hospice Care
U.S. FDA Resources

Arm Intervention/treatment
general practioner Other: continuing medical education and electronic decision support Other: education and electronic support
Continuing medical education and electronic decision support to General Practitioners.



Primary Outcome Measures :
  1. Place of death of deceased patients [ Time Frame: 1 year ]
    Looking at the proportion of General practitioners patients dying at home in the year following the continuing medical education meeting

  2. time spent at home the last three months of the deceased patients lives [ Time Frame: 3 months ]
    Looking at all the deceased patients in one year following the continuing medical education meeting

  3. Numbers of hospital admission the last three months of the deceased patients lives [ Time Frame: 3 months ]
    Looking at all the deceased patients in one year following the continuing medical education meeting


Secondary Outcome Measures :
  1. and kinds of contacts between GPs and patients in the last three months of the deceased patients lives [ Time Frame: three months ]
  2. use of relevant medicine and of the 'Safety Box' in the last three months of the deceased patients lives [ Time Frame: three months ]
  3. GPs' confidence concerning palliative care [ Time Frame: 14 months ]
    assessed using questionnaire before and after the intervention



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Working as General Practitioner in the Central Region of Denmark in 2013 and onwards

Exclusion Criteria:


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02050256


Locations
Denmark
Aarhus University
Aarhus, Denmark, 8000
Sponsors and Collaborators
University of Aarhus
Danish Cancer Society
TrygFonden, Denmark
Investigators
Principal Investigator: Anders B. Mr Jensen, Professor Department of Oncology, Aarhus University Hospital, Denmark

Responsible Party: University of Aarhus
ClinicalTrials.gov Identifier: NCT02050256     History of Changes
Other Study ID Numbers: 2006802748
First Posted: January 30, 2014    Key Record Dates
Last Update Posted: December 11, 2014
Last Verified: December 2013

Keywords provided by University of Aarhus:
Palliative care
Continuing medical education
General practitioner
Electronic decision support

Additional relevant MeSH terms:
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Neoplasm Metastasis
Respiratory Tract Diseases
Neoplastic Processes
Neoplasms
Pathologic Processes