Monitoring the Italian Home Palliative Care Services.

Italian National Observatory best practices home palliative care units palliative care quality of the care

Journal

Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525

Informations de publication

Date de publication:
02 Jan 2019
Historique:
received: 20 11 2018
revised: 13 12 2018
accepted: 24 12 2018
entrez: 6 1 2019
pubmed: 6 1 2019
medline: 6 1 2019
Statut: epublish

Résumé

In Italy, there currently is a lack of reliable and consistent data on home palliative care provided to people near death. Monitoring the activities of the Italian Home Palliative Care Services, according to the 2014 national data collection program entitled "Observatory of Best Practices in Palliative Care" and providing process/outcome measures on a subsample (Best Practice Panel), on regulatory standards and on complete/reliable activity data. A data collection web portal using two voluntary internet-based questionnaires in order to retrospectively identify the main care activity data provided within the year 2013 by Home care units. In the Best Practice Panel and International best practices, eligibility and quality measures refer to the national standards of the NL 38/2010. Setting/Subject: Home Palliative Care Services (HPCSs) that provided care from January to December 2013. 118 Home care units were monitored, globally accounting for 40,955 assisted patients within the year 2013 (38,384 cancer patients); 56 (47.5% of 118) were admitted in the Best Practice Panel. Non-cancer (5%) and pediatric (0.4%) patients represented negligible percentages of frail care patients, and a majority of patients died at home (respectively nearly 75% and 80% of cancer and non-cancer patients). The study demonstrated the feasibility of the collection of certified data from Home care services through a web-based system. Only 80% of the facilities met the requirements provided by the Italian NL 38/2010. Moreover, the extension of the palliative care services provided to frail non-cancer and pediatric patients, affected by complex and advanced chronic conditions, is still inadequate in Italy.

Sections du résumé

BACKGROUND BACKGROUND
In Italy, there currently is a lack of reliable and consistent data on home palliative care provided to people near death.
OBJECTIVES OBJECTIVE
Monitoring the activities of the Italian Home Palliative Care Services, according to the 2014 national data collection program entitled "Observatory of Best Practices in Palliative Care" and providing process/outcome measures on a subsample (Best Practice Panel), on regulatory standards and on complete/reliable activity data.
DESIGN METHODS
A data collection web portal using two voluntary internet-based questionnaires in order to retrospectively identify the main care activity data provided within the year 2013 by Home care units. In the Best Practice Panel and International best practices, eligibility and quality measures refer to the national standards of the NL 38/2010. Setting/Subject: Home Palliative Care Services (HPCSs) that provided care from January to December 2013.
RESULTS RESULTS
118 Home care units were monitored, globally accounting for 40,955 assisted patients within the year 2013 (38,384 cancer patients); 56 (47.5% of 118) were admitted in the Best Practice Panel. Non-cancer (5%) and pediatric (0.4%) patients represented negligible percentages of frail care patients, and a majority of patients died at home (respectively nearly 75% and 80% of cancer and non-cancer patients).
CONCLUSION CONCLUSIONS
The study demonstrated the feasibility of the collection of certified data from Home care services through a web-based system. Only 80% of the facilities met the requirements provided by the Italian NL 38/2010. Moreover, the extension of the palliative care services provided to frail non-cancer and pediatric patients, affected by complex and advanced chronic conditions, is still inadequate in Italy.

Identifiants

pubmed: 30609722
pii: healthcare7010004
doi: 10.3390/healthcare7010004
pmc: PMC6473487
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Gianlorenzo Scaccabarozzi (G)

Department of Frailty, Local social health authority (ASST) Lecco, Local Network of Palliative care, Largo Mandic 1, 23807 Merate, Italy. g.scaccabarozzi@asst-lecco.it.

Pietro Giorgio Lovaglio (PG)

Department of Statistics and Quantitative Methods, University Bicocca-Milan, Via Bicocca degli Arcimboldi 8, 20126 Milan, Italy. piergiorgio.lovaglio@unimib.it.

Fabrizio Limonta (F)

Health Territorial Agency (ATS) Montagna, Via Nazario Sauro 38, 23100 Sondrio, Italy. f.limonta@ats-montagna.it.

Carlo Peruselli (C)

Foundation Maruzza Lefebvre D'Ovidio, Via del Nuoto 11, 00135 Rome, Italy. carlo.peruselli@gmail.com.

Mariadonata Bellentani (M)

General Direction of Health Planning of the Italian Ministry of Health, 00144 Rome, Italy. md.bellentani@sanita.it.

Matteo Crippa (M)

Fondazione Floriani Via Privata Nino Bonnet 2, 20154 Milan, Italy. m.crippa@fondazionefloriani.eu.

Classifications MeSH