Improving End-of-life Care by Continuing Medical Education and Electronic Decision Making Support for General Practitioners

NCT ID: NCT02050256

Last Updated: 2014-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2014-12-31

Brief Summary

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Background: Optimizing the basic palliative care has been shown beneficial to patients in end-of-life care, the general practitioner (GP) having a pivotal role in the health care system, providing comprehensive and continued medical care.

The aim of the study is to investigate the effect of a complex intervention in general practice on GPs' awareness of and confidence in providing end-of-life care.

Method: A follow-up study among 404 general practices in Central Denmark Region. The participating general practices will get the opportunity to receive education in palliative care and access to an electronic support, which provides advice on palliative care and an overview of the palliative population in each medical practice. The education and the support will focus on patients suffering from either metastatic cancer or chronic obstructive pulmonary disease (GOLD stage 4).

The end-of-life care delivered by the GPs to their deceased patients will be analysed, based on questionnaires to GPs and register data related to the deceased patients before and after the intervention, .

Primary outcomes: Place of death of deceased patients, time spent at home, and number of hospital admissions in the last three months of the patients' lives.

Secondary outcomes: Number and kinds of contacts between GPs and patients, use of relevant medicine and of the 'Safety Box'. Finally GPs' confidence concerning palliative care will be assessed in questionnaires.

Detailed Description

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Conditions

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Chronic Obstructive Pulmonary Disease Metastatic Cancer

Keywords

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Palliative care Continuing medical education General practitioner Electronic decision support

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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general practioner

Group Type OTHER

continuing medical education and electronic decision support

Intervention Type OTHER

education and electronic support

Intervention Type OTHER

Continuing medical education and electronic decision support to General Practitioners.

Interventions

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continuing medical education and electronic decision support

Intervention Type OTHER

education and electronic support

Continuing medical education and electronic decision support to General Practitioners.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Working as General Practitioner in the Central Region of Denmark in 2013 and onwards

\-

Exclusion Criteria

\-
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Danish Cancer Society

OTHER

Sponsor Role collaborator

TrygFonden, Denmark

INDUSTRY

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anders B. Mr Jensen, Professor

Role: PRINCIPAL_INVESTIGATOR

Department of Oncology, Aarhus University Hospital, Denmark

Locations

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Aarhus University

Aarhus, , Denmark

Site Status

Countries

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Denmark

References

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Winthereik AK, Neergaard MA, Jensen AB, Vedsted P. Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners. BMC Fam Pract. 2018 Jun 20;19(1):91. doi: 10.1186/s12875-018-0774-x.

Reference Type DERIVED
PMID: 29925332 (View on PubMed)

Other Identifiers

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2006802748

Identifier Type: -

Identifier Source: org_study_id