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Tony Ryan - One of the best experts on this subject based on the ideXlab platform.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature
BMJ supportive & palliative care, 2015Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:Background UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient9s transition from ‘Curative Care’ to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Method Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Results Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. Conclusions The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature.
BMJ supportive & palliative care, 2011Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient's transition from 'Curative Care' to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
Clare Gardiner - One of the best experts on this subject based on the ideXlab platform.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature
BMJ supportive & palliative care, 2015Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:Background UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient9s transition from ‘Curative Care’ to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Method Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Results Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. Conclusions The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature.
BMJ supportive & palliative care, 2011Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient's transition from 'Curative Care' to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
Christine Ingleton - One of the best experts on this subject based on the ideXlab platform.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature
BMJ supportive & palliative care, 2015Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:Background UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient9s transition from ‘Curative Care’ to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Method Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Results Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. Conclusions The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature.
BMJ supportive & palliative care, 2011Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient's transition from 'Curative Care' to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
Merryn Gott - One of the best experts on this subject based on the ideXlab platform.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature
BMJ supportive & palliative care, 2015Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:Background UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient9s transition from ‘Curative Care’ to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Method Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Results Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. Conclusions The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
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Exploring the transition from Curative Care to palliative Care: a systematic review of the literature.
BMJ supportive & palliative care, 2011Co-Authors: Clare Gardiner, Christine Ingleton, Merryn Gott, Tony RyanAbstract:UK policy guidance on treatment and Care towards the end of life identifies a need to better recognise patients who are likely to be in the last 12 months of life. Health and social Care professionals have a key role in initiating and managing a patient's transition from 'Curative Care' to palliative Care. The aim of this paper is to provide a systematic review of evidence relating to the transition from Curative Care to palliative Care within UK settings. Four electronic databases were searched for studies published between 1975 and March 2010. Inclusion criteria were all UK studies relating to the transition from Curative Care to palliative Care in adults over the age of 18. Selected studies were independently reviewed, data were extracted, quality was assessed and data were synthesised using a descriptive thematic approach. Of the 1464 articles initially identified, 12 papers met the criteria for inclusion. Four themes emerged from the literature: (1) patient and Carer experiences of transitions; (2) recognition and identification of the transition phase; (3) optimising and improving transitions; and (4) defining and conceptualising transitions. The literature suggests that little is known about the potentially complex transition to palliative Care. Evidence suggests that continuity of Care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transition. An important role is outlined for generalist providers of palliative Care. Incorporating palliative Care earlier in the disease trajectory and implementing a phased transition appear key components of optimum Care.
Xin Wang - One of the best experts on this subject based on the ideXlab platform.
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How were situations of preventive and Curative Care expenditure for AIDS and medical burden of patients? Research based on "System of Health Accounts 2011"
BMC public health, 2020Co-Authors: Huan Zhan, Shuang Zang, Liangrong Zhou, Xin WangAbstract:The problem of AIDS response has not only involved public health, but also had a great impact on the family burden.The objective of this study was to estimate the preventive and Curative Care expenditure(PCE)for AIDS of Hunan Province in 2017 based on System of Health Accounts 2011(SHA2011)by quantity,financing scheme,health provider,health function,and to analyses the factors affecting patients’ medical burden. Through stratified multi-stage sampling method, 1336 institutions were surveyed to obtain AIDS prevention and control data, and the official data collected from Health Statistical Yearbook, Health Financial Annual Reports and Government Input Monitoring System were used to estimate the AIDS PCE based on SHA2011. Univariate analyses and ordered logistic regression were used to evaluate the factors affecting the medical burden of AIDS patients. The AIDS PCE of Hunan Province in 2017 was 266.67 million, mainly flowed to hospitals and disease prevention and control institutions. The proportions of Curative Care expenditure(CCE) and prevention expenditure were 51.39 and 48.61% respectively. Prevention expenditure were mainly used for traditional prevention methods. All prevention expenditure and 88.52% of CCE were borne by public financing scheme. Family health expenditure accounted for 11.12% of CCE, but there were still some people with heavy burden of treatment. Non insurance, co-infection and length of stay are risk factors to the total hospitalization expenses(Totalexp)and the out-of-pocket payments(OOPs)(all p 1). Taking the age group under 30 as the reference, the partial regression coefficient of the age group over 60 was statistically significant (OR (Totalexp) = 1.809, OR (OOPs) = 0.30). The financing structure of the PCE for AIDS in Hunan Province was relatively stable and the flow of institutions was reasonable. The functional flow of expenditure embodied the principle of “prevention first”. China should incorporate oral PrEP into the national guidelines as soon as possible to improve the allocation efficiency of AIDS prevention resources. Meantime, several measures should be taken to reduce the medical burden of AIDS patients, including expanding the scope of government assistance, adjusting insurance compensation measures, increasing the rate of patients participating in insurance,encouraging commercial insurance to join the AIDS insurance system,and controlling length of stay in hospital.
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How were situations of preventive and Curative Care expenditure for AIDS and medical burden of patients? Research based on "System of Health Accounts 2011 "
2019Co-Authors: Huan Zhan, Shuang Zang, Liangrong Zhou, Xin WangAbstract:Abstract Background: The problem of AIDS response has not only involved public health, but also had a great impact on the family burden.The objective of this study was to estimate the preventive and Curative Care expenditure(PCE)for AIDS of Hunan Province in 2017 based on System of Health Accounts 2011(SHA2011)by quantity,financing scheme,health provider,health function,and to analyses the factors affecting patients' medical burden.Methods: Through stratified multi-stage sampling method, 1336 institutions were surveyed to obtain AIDS prevention and control data, and the official data collected from Health Statistical Yearbook, Health Financial Annual Reports and Government Input Monitoring System were used to estimate the AIDS PCE based on SHA2011. Univariate analyses and ordered logistic regression were used to evaluate the factors affecting the medical burden of AIDS patients.Results: The AIDS PCE of Hunan Province in 2017 was 266.67 million, mainly flowed to hospitals and disease prevention and control institutions. The proportions of Curative Care expenditure(CCE) and prevention expenditure were 51.39% and 48.61% respectively. Prevention expenditure were mainly used for traditional prevention methods. All prevention expenditure and 88.52% of CCE were borne by public financing scheme. Family health expenditure accounted for 11.12% of CCE，but there were still some people with heavy burden of treatment. Non insurance, co-infection and length of stay are risk factors to the total hospitalization expenses(Totalexp)and the out-of-pocket payments(OOPs)(all p <0.05,OR>1). Taking the age group under 30 as the reference, the partial regression coefficient of the age group over 60 was statistically significant (OR (Totalexp) =1.809, OR (OOPs) =0.30).Conclusion:The financing structure of the PCE for AIDS in Hunan Province was relatively stable and the flow of institutions was reasonable. The functional flow of expenditure embodied the principle of "prevention first". China should incorporate oral PrEP into the national guidelines as soon as possible to improve the allocation efficiency of AIDS prevention resources. Meantime, several measures should be taken to reduce the medical burden of AIDS patients, including expanding the scope of government assistance, adjusting insurance compensation measures, increasing the rate of patients participating in insurance,encouraging commercial insurance to join the AIDS insurance system,and controlling length of stay in hospital.
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How were situations of preventive and Curative Care expenditure for AIDS and medical burden of patients? Research based on "System of Health Accounts 2011 "
2019Co-Authors: Huan Zhan, Shuang Zang, Liangrong Zhou, Xin WangAbstract:Abstract Background The problem of AIDS response has not only involved public health, but also had a great impact on the family burden.The objective of this study was to estimate Hunan Province preventive and Curative Care expenditure(PCE) of AIDS in 2017 based on System of Health Accounts 2011 by quantity,financing scheme,health provider,health function,and to analyse the factors affecting patients' medical burden.Methods Through stratified multi-stage sampling method, 1336 institutions were surveyed to obtain AIDS prevention and control data, and combined with official data of Hunan Health Statistical Yearbook, Health Financial Yearbook and Government Input Monitoring System to estimate the AIDS PCE under the framework of SHA2011.Univariate analysis and ordered logistic regression were used to evaluate the factors affecting the medical burden of AIDS patients.Results The AIDS PCE of Hunan in 2017 was 266.67 million, mainly flowed to hospitals and disease prevention and control institutions. The proportions of Curative Care expenditure(CCE) and prevention expenditure were 51.39%, 48.61% respectively. From the point of view of the allocation of prevention expenditure, AIDS prevention methods were relatively traditional, and oral PrEP was not included in the national plan. All prevention expenditure and 88.52% of CCE were borne by public financing scheme.Family health expenditure accounted for 11.21% of CCE. None insurance, co-infection and length of stay are risk factors to the total expenditure of hospitalization and out-of-pocket health expenditure(all p <0.05,OR>1).Taking the age group under 30 as the reference, the partial regression coefficient of the age group over 60 was statistically significant ( OR (Totalexp) =1.809, OR (OOP) =0.30).Conclusions The financing structure of the Hunan Province PCE of AIDS was relatively stable and the flow of institutions was reasonable. The functional flow of expenditure embodied the principle of "prevention first". China should incorporate oral PrEP into the national guidelines as soon as possible to improve the allocation efficiency of AIDS prevention resources. Meantime, several measures should be taken to reduce the hospitalization expenses and medical burden of AIDS patients, including adjusting insurance compensation measures, increasing the rate of patients participating in insurance,encouraging commercial insurance to join the AIDS insurance system,and controlling length of stay in hospital.
