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'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study

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'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study. / Walshe, Catherine; Mateus, Ceu; Varey, Sandra et al.
In: Palliative Medicine, Vol. 37, No. 10, 01.12.2023, p. 1484-1497.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Walshe, C, Mateus, C, Varey, S, Dodd, S, Cockshott, Z, Filipe, L & Brearley, S 2023, ''Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study', Palliative Medicine, vol. 37, no. 10, pp. 1484-1497. https://doi.org/10.1177/02692163231201486

APA

Walshe, C., Mateus, C., Varey, S., Dodd, S., Cockshott, Z., Filipe, L., & Brearley, S. (2023). 'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study. Palliative Medicine, 37(10), 1484-1497. https://doi.org/10.1177/02692163231201486

Vancouver

Walshe C, Mateus C, Varey S, Dodd S, Cockshott Z, Filipe L et al. 'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study. Palliative Medicine. 2023 Dec 1;37(10):1484-1497. Epub 2023 Sept 21. doi: 10.1177/02692163231201486

Author

Walshe, Catherine ; Mateus, Ceu ; Varey, Sandra et al. / 'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study : A mixed methods study. In: Palliative Medicine. 2023 ; Vol. 37, No. 10. pp. 1484-1497.

Bibtex

@article{52ce120d1629476a80f5dc390b36ced9,
title = "'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study: A mixed methods study",
abstract = "BACKGROUND: Healthcare usage patterns change for people with life limiting illness as death approaches, with increasing use of out-of-hours services. How best to provide care out of hours is unclear.AIM: To evaluate the effectiveness and effect of enhancements to 7-day specialist palliative care services, and to explore a range of perspectives on these enhanced services.DESIGN: An exploratory longitudinal mixed-methods convergent design. This incorporated a quasi-experimental uncontrolled pre-post study using routine data, followed by semi-structured interviews with patients, family carers and health care professionals.SETTING/PARTICIPANTS: Data were collected within specialist palliative care services across two UK localities between 2018 and 2020. Routine data from 5601 unique individuals were analysed, with post-intervention interview data from patients ( n  = 19), family carers ( n  = 23) and health care professionals ( n  = 33; n  = 33 time 1, n  = 20 time 2). RESULTS: The mean age of people receiving care was 73 years, predominantly white (90%) and with cancer (42%). There were trends for those in the intervention (enhanced care) period to stay in hospital 0.16 days fewer, but be hospitalised 2.67 more times. Females stayed almost 3.5 more days in the hospital, but were admitted 2.48 fewer times. People with cancer had shorter hospitalisations (4 days fewer), and had two fewer admission episodes. Themes from the qualitative data included responsiveness (of the service); reassurance; relationships; reciprocity (between patients, family carers and staff) and retention (of service staff).CONCLUSIONS: Enhanced seven-day services provide high quality integrated palliative care, with positive experiences for patients, carers and staff.",
keywords = "Palliative care, after-hours care, health care facilities, hospitalisation, manpower and services, out-of-hours medical care",
author = "Catherine Walshe and Ceu Mateus and Sandra Varey and Steven Dodd and Zoe Cockshott and Luis Filipe and Sarah Brearley",
year = "2023",
month = dec,
day = "1",
doi = "10.1177/02692163231201486",
language = "English",
volume = "37",
pages = "1484--1497",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "10",

}

RIS

TY - JOUR

T1 - 'Thank goodness you're here'. Exploring the impact on patients, family carers and staff of enhanced 7-day specialist palliative care services: A mixed methods study

T2 - A mixed methods study

AU - Walshe, Catherine

AU - Mateus, Ceu

AU - Varey, Sandra

AU - Dodd, Steven

AU - Cockshott, Zoe

AU - Filipe, Luis

AU - Brearley, Sarah

PY - 2023/12/1

Y1 - 2023/12/1

N2 - BACKGROUND: Healthcare usage patterns change for people with life limiting illness as death approaches, with increasing use of out-of-hours services. How best to provide care out of hours is unclear.AIM: To evaluate the effectiveness and effect of enhancements to 7-day specialist palliative care services, and to explore a range of perspectives on these enhanced services.DESIGN: An exploratory longitudinal mixed-methods convergent design. This incorporated a quasi-experimental uncontrolled pre-post study using routine data, followed by semi-structured interviews with patients, family carers and health care professionals.SETTING/PARTICIPANTS: Data were collected within specialist palliative care services across two UK localities between 2018 and 2020. Routine data from 5601 unique individuals were analysed, with post-intervention interview data from patients ( n  = 19), family carers ( n  = 23) and health care professionals ( n  = 33; n  = 33 time 1, n  = 20 time 2). RESULTS: The mean age of people receiving care was 73 years, predominantly white (90%) and with cancer (42%). There were trends for those in the intervention (enhanced care) period to stay in hospital 0.16 days fewer, but be hospitalised 2.67 more times. Females stayed almost 3.5 more days in the hospital, but were admitted 2.48 fewer times. People with cancer had shorter hospitalisations (4 days fewer), and had two fewer admission episodes. Themes from the qualitative data included responsiveness (of the service); reassurance; relationships; reciprocity (between patients, family carers and staff) and retention (of service staff).CONCLUSIONS: Enhanced seven-day services provide high quality integrated palliative care, with positive experiences for patients, carers and staff.

AB - BACKGROUND: Healthcare usage patterns change for people with life limiting illness as death approaches, with increasing use of out-of-hours services. How best to provide care out of hours is unclear.AIM: To evaluate the effectiveness and effect of enhancements to 7-day specialist palliative care services, and to explore a range of perspectives on these enhanced services.DESIGN: An exploratory longitudinal mixed-methods convergent design. This incorporated a quasi-experimental uncontrolled pre-post study using routine data, followed by semi-structured interviews with patients, family carers and health care professionals.SETTING/PARTICIPANTS: Data were collected within specialist palliative care services across two UK localities between 2018 and 2020. Routine data from 5601 unique individuals were analysed, with post-intervention interview data from patients ( n  = 19), family carers ( n  = 23) and health care professionals ( n  = 33; n  = 33 time 1, n  = 20 time 2). RESULTS: The mean age of people receiving care was 73 years, predominantly white (90%) and with cancer (42%). There were trends for those in the intervention (enhanced care) period to stay in hospital 0.16 days fewer, but be hospitalised 2.67 more times. Females stayed almost 3.5 more days in the hospital, but were admitted 2.48 fewer times. People with cancer had shorter hospitalisations (4 days fewer), and had two fewer admission episodes. Themes from the qualitative data included responsiveness (of the service); reassurance; relationships; reciprocity (between patients, family carers and staff) and retention (of service staff).CONCLUSIONS: Enhanced seven-day services provide high quality integrated palliative care, with positive experiences for patients, carers and staff.

KW - Palliative care

KW - after-hours care

KW - health care facilities

KW - hospitalisation

KW - manpower and services

KW - out-of-hours medical care

U2 - 10.1177/02692163231201486

DO - 10.1177/02692163231201486

M3 - Journal article

C2 - 37731382

VL - 37

SP - 1484

EP - 1497

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 10

ER -