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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-11-21
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pubmed:abstractText |
As part of a randomized controlled trial of a new district co-ordinating service for the care of terminally ill cancer patients, the activities of the nurse co-ordinators and the acceptability and perceived effectiveness of the service were assessed. Co-ordinators' activities were self-recorded; professional caregivers completed a postal questionnaire; and family carers were interviewed at home. Thirty-eight per cent of patients allocated to the co-ordinators were not visited at home. Overall, 41% of professionals had heard of the co-ordinating service and 20% had been contacted. A third of relatives, whether allocated or not to the co-ordinating service, felt that terminal care of their patient was not well co-ordinated and that they did not know how to get the help they needed for their dying relative. It may be that the nurse co-ordinators were unwilling or unable to relinquish their skills in order to provide a 'broker' style of co-ordination. Perhaps less skilled co-ordinators would have been more successful. Moreover, the co-ordinating service had no budgetary responsibility. Those concerned with quality assurance in co-ordination of terminal care might consider the skill mix and professional training of the co-ordinators as well as their budgetary responsibilities and authority.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0309-2402
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
20
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
337-43
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pubmed:dateRevised |
2010-4-12
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pubmed:meshHeading |
pubmed-meshheading:7930153-Caregivers,
pubmed-meshheading:7930153-Catchment Area (Health),
pubmed-meshheading:7930153-Humans,
pubmed-meshheading:7930153-London,
pubmed-meshheading:7930153-Neoplasms,
pubmed-meshheading:7930153-Patient Care Planning,
pubmed-meshheading:7930153-Patient Satisfaction,
pubmed-meshheading:7930153-Quality Assurance, Health Care,
pubmed-meshheading:7930153-Terminal Care
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pubmed:year |
1994
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pubmed:articleTitle |
Acceptability and perceived effectiveness of a district co-ordinating service for terminal care: implications for quality assurance.
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pubmed:affiliation |
Department of Public Health Sciences, St George's Hospital Medical School, University of London, England.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|