Evidence map›Paper›PMID 30410255›Full record

ArticleIndian journal of palliative care

The Development of the Community-based Palliative Care Model in a District Health System, Phitsanulok Province, Thailand.

Nithra Kitreerawutiwong, Sunsanee Mekrungrengwong, Orawan Keeratisiroj

Abstract read
In one paragraph

Article in Indian journal of palliative care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nithra KitreerawutiwongDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.
Sunsanee MekrungrengwongDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.
Orawan KeeratisirojDepartment of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPalliative care (PC) refers to a set of basic health services in Thailand and is in the early stage of implementation.

aimThe aim of this study is to develop a community-based PC model in a district health system (DHS) based on the form of action and evaluation.

methodsA three-step action research: look, think, and act was designed with mixed methods of data collection.

resultsA key finding was the confusion on the terminology of the PC, challenge of the referral system of PC patients in DHS, medical equipment and supplies for the PC patients, and insufficient access to opioid analgesics at home. The model of development comprised the training of health professionals, the management of the medical equipment and supplies by people sector, and the development of a referral guideline of the PC patient in DHS. The evaluation showed the higher score of the accessibility to PC than the score of accommodation for patients. It also showed the higher score of the care continuity over the longitudinal continuity for patients. For the carers, the score of guilt is higher than the score of the care burden.

conclusionsA community-based PC model should be monitored by district health managment. The methods of this study are expected to be useful advice on how to solve similar problems in the other regions of similar context.

Indexed as

Action researchcommunity-based palliative caredistrict health systemThailand

Identifiers

PMID30410255
PMCPMC6199840

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.