ArticleQuality & safety in health care2009
A national facilitation project to improve primary palliative care: impact of the Gold Standards Framework on process and self-ratings of quality.
Article in Quality & safety in health care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Anticipatory prescribing of injectable medications for adults at the end of life in the community: A systematic literature review and narrative synthesis.Palliative medicine · 2019Pooled it
- Primary palliative care team perspectives on coordinating and managing people with advanced cancer in the community: a qualitative study.BMC family practice · 2018Observational
- Primary care physicians' educational needs and learning preferences in end of life care: A focus group study in the UK.BMC palliative care · 2017Article
- General Practitioners' Attitudes towards Essential Competencies in End-of-Life Care: A Cross-Sectional Survey.PloS one · 2017Article
- Conceptual foundations of a palliative approach: a knowledge synthesis.BMC palliative care · 2016Article
- A region-based palliative care intervention trial using the mixed-method approach: Japan OPTIM study.BMC palliative care · 2012Article
- Exploring preferences for place of death with terminally ill patients: qualitative study of experiences of general practitioners and community nurses in England.BMJ (Clinical research ed.) · 2009Article
- Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW.Journal of the American Board of Family Medicine : JABFMArticle
- Embedding a Palliative Approach in Nursing Care Delivery: An Integrated Knowledge Synthesis.ANS. Advances in nursing scienceArticle
- Community-Based Palliative Care: A Bibliometric and Visual Analysis of Scientific Publications (2015-2025).SAGE open nursingReview
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Authors and funding
6 authors.
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Abstract
backgroundImproving quality of end-of-life care is a key driver of UK policy. The Gold Standards Framework (GSF) for Palliative Care aims to strengthen primary palliative care through facilitating implementation of systematic clinical and organisational processes.
objectivesTo describe the general practices that participated in the GSF programme in 2003-5 and the changes in process and perception of quality that occurred in the year following entry into the programme, and to identify factors associated with the extent of change.
methodsParticipating practices completed a questionnaire at baseline and another approximately 12 months later. Data were derived from categorical questions about the implementation of 35 organisational and clinical processes, and self-rated assessments of quality, associated with palliative care provision.
participants1305 practices (total registered population almost 10 million). Follow-up questionnaire completed by 955 (73.2%) practices (after mean (SD) 12.8 (2.8) months; median 13 months).
findingsMean increase in total number of processes implemented (maximum = 35) was 9.6 (95% CI 9.0 to 10.2; p<0.001; baseline: 15.7 (SD 6.4), follow-up: 25.2 (SD 5.2)). Extent of change was largest for practices with low baseline scores. Aspects of process related to coordination and communication showed the greatest change. All dimensions of quality improved following GSF implementation; change was highest for the "quality of palliative care for cancer patients" and "confidence in assessing, recording and addressing the physical and psychosocial areas of patient care".
conclusionImplementation of the GSF seems to have resulted in substantial improvements in process and quality of palliative care. Further research is required of the extent to which this has enhanced care (physical, practical and psychological outcomes) for patients and carers.
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