Evidence map›Paper›PMID 32928334›Full record

ArticlePrimary health care research & development2020

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases.

Chariklia Tziraki, Corrina Grimes, Filipa Ventura, Rónán O'Caoimh, Silvina Santana, Veronica Zavagli, Silvia Varani, Donatella Tramontano, João Apóstolo, Bart Geurden and 15 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Primary health care research & development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 17 institutions in 10 countries.

Chariklia TzirakiIsrael Gerontological Data Center, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0002-2662-6023
Corrina GrimesPublic Health Agency of Northern Ireland, Belfast, UK.
Filipa VenturaThe Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal.
Rónán O'CaoimhDepartment of Medicine, Clinical Sciences Institute, National University of Ireland, Galway, Ireland.
Silvina SantanaDepartment of Economics, Management, Industrial Engineering and Tourism, Institute of Electronics and Informatics Engineering of Aveiro, University of Aveiro, Aveiro, Portugal.
Veronica ZavagliPsycho-Oncology Unit, ANT Italia Foundation, Bologna, Italy.
Silvia VaraniANT Italia Foundation, Bologna, Italy.
Donatella TramontanoDepartment of Molecular Medicine and Medical Biotechnology, Federico II University of Naples, Naples, Italy.
João ApóstoloDepartment of Nursing, Nursing School of Coimbra, Coimbra, Portugal.
Bart GeurdenNursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Vincenzo De LucaResearch and Development Unit, Federico II University Hospital, Naples, Italy.
Giovanni TramontanoHospital Care Division, General Directorate for Health, Campania Region, Naples, Italy.
Maria Rosaria RomanoHospital Care Division, General Directorate for Health, Campania Region, Naples, Italy.
Marilena AnastasakiClinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.
Christos LionisDepartment of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece.
Rafael Rodríguez-AcuñaAndalusian Public Foundation Progress and Health (FPS), Seville, Spain.
Manuel Luis CapelasInterdisciplinary Health Research Center (CIIS), Institute of Health Sciences, Portuguese Catholic University, Lisbon, Portugal.
Tânia Dos Santos AfonsoFaculty of Pharmacy, Center for Pharmaceutical Studies, University of Coimbra, Coimbra, Portugal.
David William MolloyCentre for Gerontology and Rehabilitation, School of Medicine, University College of Cork, Cork, Ireland.
Giuseppe LiottaDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Guido IaccarinoDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Maria TriassiDepartment of Public Health, Federico II University of Naples, Naples, Italy.
Patrik EklundDepartment of Computing Science, Umeå University, Umeå, Sweden.
Regina Roller-WirnsbergerDepartment of Internal Medicine, Medical University of Graz, Graz, Austria.
Maddalena IllarioDepartment of Public Health, Federico II University of Naples, Naples, Italy.
Regione Campania · ITANT Foundation Italy Onlus · ITEscola Superior de Enfermagem de Coimbra · PTUniversidade Católica Portuguesa · PTUniversity of Crete · GRUniversity of Naples Federico II · ITFederico II University Hospital · ITFundación Progreso y Salud · ESHebrew University of Jerusalem · ILMedical University of Graz · ATOllscoil na Gaillimhe – University of Galway · IEPublic Health Agency · GBUmeå University · SEUniversity College Cork · IEUniversity of Antwerp · BEUniversity of Aveiro · PTUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key 'bottlenecks': inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.

Indexed as

Noncommunicable DiseasesPalliative CareEuropeHumansPublic HealthQuality of Lifeintegratedmultimorbiditynon-communicable chronic diseases (NCCDs)palliative carepublic health

Identifiers

PMID32928334
PMCPMC7503185
OpenAlexW3087676199

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.