ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015
How to implement quality indicators successfully in palliative care services: perceptions of team members about facilitators of and barriers to implementation.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia.Palliative medicine · 2019Pooled it
- Quality indicators for Palliative Day Services: A modified Delphi study.Palliative medicine · 2019Pooled it
- A new cross-disciplinary model for early integration of palliative care for patients with incurable cancer - an intervention development study.BMC palliative care · 2026Article
- Development of a quality indicator set for day hospices in Germany - a multi-stage, quality-assured review of German guidelines and quality indicator sets.BMC palliative care · 2025Article
- What gets measured in palliative care? A review and synthesis of routine data collection in 16 countries.Health policy OPEN · 2025Review
- State-wide implementation of patient-reported outcome measures (PROMs) in specialized outpatient palliative care teams (ELSAH): A mixed-methods evaluation and implications for their sustainable use.BMC palliative care · 2022Article
- Article
- Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.BMJ quality & safety · 2022Article
- Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes.International journal of environmental research and public health · 2021Article
- Perceptions of Facilitators and Barriers to Measuring and Improving Quality in Palliative Care Programs.The American journal of hospice & palliative care · 2020Article
- Evaluation of the Measuring and Improving Quality in Palliative Care Survey.Journal of oncology practice · 2018Article
- A Survey to Evaluate Facilitators and Barriers to Quality Measurement and Improvement: Adapting Tools for Implementation Research in Palliative Care Programs.Journal of pain and symptom management · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is an increasing demand for the use of quality indicators in palliative care. With previous research about implementation in this field lacking, we aimed to evaluate the barriers to and facilitators of implementation.
methodsThree focus group interviews were organized with 21 caregivers from 18 different specialized palliative care services in Belgium. Four had already worked with the indicators during a pilot study. The focus group discussions were transcribed verbatim and analyzed using the thematic framework approach.
resultsThe caregivers anticipated that a positive attitude by the team towards quality improvement, the presence of a good leader, and the possible link between quality indicators and reimbursement might facilitate the implementation of quality indicators in specialized palliative care services. Other facilitators concerned the presence of a need to demonstrate quality of care, to perform improvement actions, and to learn from other caregivers and services in the field. A negative attitude by caregivers towards quality measurement and a lack of skills, time, and staff were mentioned as barriers to successful implementation.
conclusionPalliative caregivers anticipate a number of opportunities and problems when implementing quality indicators. These relate to the attitudes of the team regarding quality measurement; the attitudes, knowledge, and skills of the individual caregivers within the team; and the organizational context and the economic and political context. Training in the advantages of quality indicators and how to use them is indispensable, as are structural changes in the policy concerning palliative care, in order to progress towards systematic quality monitoring.
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