School of Health and Population Sciences, University of Birmingham, UK.
Palliat Med. 2010 Apr;24(3):317-29. doi: 10.1177/0269216310362005. Epub 2010 Feb 15.
The Gold Standards Framework aims to optimize primary palliative care for patients nearing the end of their lives. This paper critically reviews the impact of the Gold Standards Framework since its introduction in 2001 and indicates direction for further research and development. Literature was accessed using specific databases and by contacting subject area specialists. The resultant literature was appraised using an established framework to evaluate healthcare interventions. Fifteen documents were reviewed. The quality of evidence is constrained by methodological limitations, but consistently demonstrates that the Gold Standards Framework improves general practice processes, co-working and the quality of palliative care. However, implementation of the Gold Standards Framework is variable and the direct impact on patients and carers is not known. We conclude that the Gold Standards Framework has considerable potential to improve end-of-life care, but further work is needed to support uptake and consistency of implementation. Additional evidence about patient and carer outcomes will add to existing insights.
《金标准框架》旨在优化生命末期患者的初级姑息治疗。本文批判性地回顾了自 2001 年金标准框架引入以来的影响，并为进一步的研究和发展指明了方向。文献检索使用了特定的数据库，并联系了相关领域的专家。使用既定的评估医疗干预措施的框架对所得文献进行了评估。共审查了 15 份文件。证据的质量受到方法学限制的制约，但一致表明，金标准框架改善了一般实践流程、协作和姑息治疗的质量。然而，金标准框架的实施情况存在差异，其对患者和护理者的直接影响尚不清楚。我们的结论是，金标准框架具有很大的潜力来改善临终关怀，但需要进一步的工作来支持其采用和实施的一致性。关于患者和护理者结局的额外证据将增加现有见解。
