McKinlay Eileen, McBain Lynn
Department of Primary Health Care and General Practice, Otago University, Wellington.
N Z Med J. 2007 Oct 12;120(1263):U2745.
This study reports an external evaluation of a funded model of integrated palliative care the Palliative Care Partnership. Care is delivered by a partnership between palliative care coordinators (augmented by specialist hospice clinicians), general practitioners, practice nurses, and supported by community district nurses. Mandatory induction clinician education and other support is a prerequisite.
A mixed method approach including in-depth, semi-structured interviews with a purposeful sample of stakeholders and analysis of routinely collected data. The study was undertaken in the MidCentral District Health Board area.
All stakeholders report favourably on the model of care. Data analysis shows the majority of MidCentral general practitioners and many practice nurses have completed training and cared for at least one patient using the funding stream of up to $400 per patient. Clinicians report increased clinical confidence and satisfaction. Patients/family describe best practice palliative care delivery. Funder and management organisation report robust quality and funding procedures.
The Palliative Care Partnership is an effective model of funded palliative care in primary care. It utilises the enhanced skills of primary and specialist clinicians to provide cost effective palliative care and is a model worthy of replication nationally and internationally.
本研究报告了对一项资助的综合姑息治疗模式——姑息治疗伙伴关系的外部评估。该护理由姑息治疗协调员（由专科临终关怀临床医生加强）、全科医生、执业护士合作提供，并由社区地区护士提供支持。强制性的入职临床医生教育和其他支持是前提条件。
采用混合方法，包括对有目的抽样的利益相关者进行深入的半结构化访谈，并分析常规收集的数据。该研究在中中区卫生局辖区内进行。
所有利益相关者对护理模式都给予了积极评价。数据分析表明，中中区的大多数全科医生和许多执业护士都已完成培训，并使用每位患者最高400美元的资金流护理了至少一名患者。临床医生报告说临床信心和满意度有所提高。患者/家属描述了最佳实践姑息治疗的提供情况。资助者和管理组织报告了健全的质量和资助程序。
姑息治疗伙伴关系是初级保健中资助姑息治疗的有效模式。它利用初级和专科临床医生的增强技能来提供具有成本效益的姑息治疗，是一个值得在国内和国际上推广的模式。
