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.

Health Quality Ontario. Team-based models for end-of-life care: an evidence-based analysis. Toronto: Health Quality Ontario (HQO). Ontario Health Technology Assessment Series (OHTAS) 14(20). 2014

In our systematic review of team-based end-of-life care, we looked at care provided by teams that included, at minimum, a physician and a nurse, at least one of whom was specialized or experienced in end-of-life health care. Team services included symptom management, psychosocial care, development of patient care plans, end-of-life care planning, and coordination of care. The following findings apply to models of team-based end-of-life care used to deliver care to people with an estimated survival of up to 24 months. Comprehensive Team-Based Model There is moderate-quality evidence that a comprehensive team-based model with direct patient contact significantly: • improves patient QOL, symptom management, and patient and informal caregiver satisfaction; • increases the patient's likelihood of dying at home; • decreases the patient's likelihood of dying in a nursing home; and • has no impact on hospital admissions or hospital length of stay. Hospital Team-Based Model There is moderate-quality evidence that a hospital team-based model with direct patient contact has no impact on length of hospital stay. There is low-quality evidence that this model significantly reduces ICU admissions. Home Team-Based Model There is low-quality evidence that a home team-based model with direct patient contact: -significantly increases patient satisfaction, and increases the patient's likelihood of dying at home; and - significantly decreases emergency department visits and hospital admissions. Team Membership and Services Team membership includes at minimum a physician and nurse, one of whom is specialized or experienced in end-of-life health care. Team services include: - symptom management - psychosocial care - development of patient care plans - end-of-life care planning - coordination of care

Subject indexing assigned by CRD

Canadas; Critical Care; Critical Illness; Critical Pathways; Death; Hospitalization; Palliative Care; Patient Care Planning; Patient Care Team; Terminal Care; Time Factors

English

Canada

Ontario

An English language summary is available.

Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca

32015000094

09/02/2015