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Transitions at the end of life for older adults - patient, carer and professional perspectives: a mixed-methods study |
Hanratty B, Lowson E, Grande G, Payne S, Addington-Hall J, Valtorta N, Seymour J. |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Hanratty B, Lowson E, Grande G, Payne S, Addington-Hall J, Valtorta N, Seymour J.. Transitions at the end of life for older adults - patient, carer and professional perspectives: a mixed-methods study. Health Services and Delivery Research 2014; 2(17) Authors' objectives The aim of this study was to understand the experiences, influences and consequences of transitions between settings for older adults at the end of life. Three conditions were the focus of study, chosen to represent differing disease trajectories. Authors' conclusions Development of a shared understanding of professional and carer roles in end-of-life transitions may be one of the most effective ways of improving patients' experiences. Patients and carers manage many aspects of end-of-life care for themselves. Identifying ways to extend their skills and strengthen their voices, particularly in hospital settings, would be welcomed and may reduce unnecessary end-of-life transitions. Why the experiences of carers appear to have changed little, despite the implementation of a range of relevant policies, is an important question that has not been answered. Recommendations for future research include the relationship between policy interventions and the experiences of end-of-life carers; identification of ways to harmonise understanding of the carers' role and strengthen their voice, particularly in hospital settings; identification of ways to reduce the influence of interprofessional tensions in end-of-life care; and development of interventions to enhance patients' experiences across transitions. Indexing Status Subject indexing assigned by CRD MeSH Aged; Aged, 80 and overs; Terminal Care Language Published English Country of organisation England English summary An English language summary is available. Address for correspondence HS&DR Programme, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, University of Southampton, Alpha House, Enterprise Road, Southampton, SO16 7NS, UK Tel: +44 23 8059 4304
Email: hsdrinfo@southampton.ac.uk AccessionNumber 32014001302 Date abstract record published 31/10/2014 |
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