Evidence map›Paper›PMID 35739481›Full record

ArticleBMC palliative care2022

Evaluating the perceived added value of a threefold intervention to improve palliative care for persons experiencing homelessness: a mixed-method study among social service and palliative care professionals.

Hanna T Klop, Anke J E de Veer, Jaap R G Gootjes, Dike van de Mheen, Igor R van Laere, Marcel T Slockers, Bregje D Onwuteaka-Philipsen

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Hanna T KlopDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute (APH), Van der Boechorststraat 7, 1081BT, Amsterdam, Netherlands. j.klop@amsterdamumc.nl.
Anke J E de VeerNetherlands Institute for Health Services Research (Nivel), Utrecht, Netherlands.
Jaap R G GootjesHospice Kuria, Amsterdam, Netherlands.
Dike van de MheenTranzo Scientific Center for Care and Wellbeing, Tilburg University, Tilburg, Netherlands.
Igor R van LaereNetherlands Street Doctors Group, Rotterdam, Netherlands.
Marcel T SlockersNetherlands Street Doctors Group, Rotterdam, Netherlands.
Bregje D Onwuteaka-PhilipsenDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute (APH), Van der Boechorststraat 7, 1081BT, Amsterdam, Netherlands.
Amsterdam University Medical Centers · NLHavenziekenhuis Rotterdam · NLNetherlands Institute for Health Services Research · NLTilburg University · NLVrije Universiteit Amsterdam · NL

Funding

ZonMw 844003008
6 · The paper itself

Abstract

backgroundPalliative care for persons experiencing homelessness who reside in social service facilities is often late or lacking. A threefold intervention was implemented to improve palliative care for this population by increasing knowledge and collaboration between social service and palliative care professionals. This consultation service comprised: 1) consultations between social service professionals and palliative care professionals; 2) multidisciplinary meetings involving these professionals; and 3) training of these professionals. This study aims to evaluate the perceived added value of this threefold consultation service in three regions in the Netherlands.

methodsA mixed-methods evaluation study using structured questionnaires for consultants, requesting consultants, and attendees of multidisciplinary meetings, semi-structured group and individual interviews with social service and palliative care professionals involved, weekly diaries filled out by consultants, and an implementation diary. Qualitative data were analyzed following the principles of thematic analysis. Quantitative data were analyzed descriptively.

resultsThirty-four consultations, 22 multidisciplinary meetings and 9 training sessions were studied during the implementation period of 21 months. Social service professionals made up the majority of all professionals reached by the intervention. In all regions the intervention was perceived to have added value for collaboration and networks of social service and palliative care professionals (connecting disciplines reciprocally and strengthening collaborations), the competences of especially social service professionals involved (competency in palliative care provision, feeling emotionally supported in complex situations), and the quality and timing of palliative care (more focus on quality of life and dying, advance care planning and looking ahead, and greater awareness of death and palliative care).

conclusionsThe threefold consultation service particularly helps social service professionals connect with palliative care professionals. It helps them to identify palliative care needs in good time and to provide qualitatively better palliative care to persons experiencing homelessness.

Indexed as

Ill-Housed PersonsTerminal CareHumansPalliative CareQualitative ResearchQuality of LifeSocial WorkEnd of lifeHealth careHomelessInterventionPalliative careSocial services

Identifiers

PMID35739481
PMCPMC9217725
OpenAlexW4283317899

What OpenQuestion holds

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LicenceCC BY
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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.