Afshar et al.1010 Afshar K, Wiese B, Schneider N, Müller-Mundt G. Systematic identification of critically ill and dying patients in primary care using the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE). Ger Med Sci 2020;18:Doc02. (2020) |
To investigate the feasibility and practicality of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE) for the systematic identification of these patients in a general clinic. |
Descriptive study |
10 general practitioners participated, from both urban and rural regions, with different professional experience in Family and Community Medicine, with and without additional qualification in palliative care. |
VI* (clinical question/diagnosis) |
Trapero et al. 22 (2019) |
To identify, through the application of the NECPAL tool in the field of Primary Health Care in Segovia, people with advanced chronic diseases with a potential need for palliative care. |
Observational, descriptive, longitudinal, and prospective study |
Population sample from the health area that attended to basic health units from December 1, 2014, to May 16, 2015. |
VI* (clinical question/diagnosis) |
Larrañaga et al.2323 Larrañaga I, Millas J, Soto-Gordoa M, Arrospide A, San Vicente R, Irizar M, Lanzeta I, Mar J. Impacto de la identificación de pacientes en un programa de cuidados paliativos del País Vasco. Aten Primaria 2019; 51(2):80-90. (2019) |
To evaluate, in terms of improvements in processes and economic impacts, the implementation in two integrated healthcare organizations from the palliative care program, focused on the identification of the patient. |
Cross-sectional study. The necessary information was extracted from a databank |
Patients who died (oncological or not) in 2012 (control group) and in 2015 (intervention group). |
VI* (clinical question/diagnosis) |
Scaccabarozzi et al. 24 (2017) |
To illustrate the characteristics of the patients, focused on their early identification by general practitioners and to analyze the care process in home palliative care services. |
Multicenter prospective observational study |
94 general practitioners from 10 different units of home palliative care. |
IV** (clinical question/prognosis) |
Urquhart et al.2525 Urquhart R, Kotecha J, Kendell C, Martin M, Han H, Lawson B, Tschupruk C, Marshall EG, Bennett C, Burge F. Stakeholders' views on identifying patients in primary care at risk of dying: a qualitative descriptive study using focus groups and interviews. Br J Gen Pract 2018; 68(674):e612-e620. (2018) |
To explore the acceptability and the implications of use of an electronic medical record algorithm based on the PHC to help service providers to identify patients at risk of a decline in health and death. |
Qualitative study |
The participants were 29 health professionals (doctors, nurses, and social assistants), managers, and policymakers who worked in PHC, palliative care, geriatrics, long-term care, and home care in Nova Scotia and Ontario (Canada). |
II***(clinical question/meaning) |
Van der Plas et al. 9 (2018) |
To study the effects of the implementation of the PaTz groups and provide additional analyses about two important elements: PaTz records and patient discussions. |
Quantitative study (with pre and post-assessment) |
37 PaTz groups |
VI**** (clinical question/intervention) |
Mason et al.88 Mason B, Boyd K, Steyn J, Kendall M, Macpherson S, Murray SA. Computer screening for palliative care needs in primary care: a mixed-methods study. Br J Gen Pract 2018; 68(670):e360-e369. (2018) |
To refine and test the usefulness of the general practitioners’ practices who regularly execute their own computer research based on barcodes to aid in identifying patients for the palliative care approach. |
Mixed study |
8 female practitioners 8 male practitioners and 10 patients were interviewed |
Not applicable |
Hamano et al.2626 Hamano J, Oishi A, Kizawa Y. Identified Palliative Care Approach Needs with SPICT in Family Practice: A Preliminary Observational Study. J Palliat Med 2018; 21(7):992-998. (2018) |
To explore the prevalence and characteristics of the patients from family health care who need the palliative care approach, according to that defined by the Supportive and Palliative Care Indicators Tool (SPICT, April 2015) in Japan. |
Single center cross-sectional study |
87 patients |
IV** (clinical question/prognosis) |