Automatic referral to standardize palliative care access : an international Delphi survey

Show simple item record Hui, David Mori, Masanori Meng, Yee-Choon Watanabe, Sharon M. Caraceni, Augusto Strasser, Florian Saarto, Tiina Cherny, Nathan Glare, Paul Kaasa, Stein Bruera, Eduardo 2017-12-21T22:07:39Z 2021-12-17T22:02:53Z 2018-01
dc.identifier.citation Hui , D , Mori , M , Meng , Y-C , Watanabe , S M , Caraceni , A , Strasser , F , Saarto , T , Cherny , N , Glare , P , Kaasa , S & Bruera , E 2018 , ' Automatic referral to standardize palliative care access : an international Delphi survey ' , Supportive Care in Cancer , vol. 26 , no. 1 , pp. 175-180 .
dc.identifier.other PURE: 95549359
dc.identifier.other PURE UUID: 0a8a7814-c7f4-47dc-bf8e-58006e9b5e15
dc.identifier.other WOS: 000416367400017
dc.identifier.other Scopus: 85025111410
dc.description.abstract Palliative care referral is primarily based on clinician judgment, contributing to highly variable access. Standardized criteria to trigger automatic referral have been proposed, but it remains unclear how best to apply them in practice. We conducted a Delphi study of international experts to identify a consensus for the use of standardized criteria to trigger automatic referral. Sixty international experts stated their level of agreement for 14 statements regarding the use of clinician-based referral and automatic referral over two Delphi rounds. A consensus was defined as an agreement of ae70% a priori. The response rate was 59/60 (98%) for the first round and 56/60 (93%) for the second round. Twenty-six (43%), 19 (32%), and 11 (18%) respondents were from North America, Asia/Australia, and Europe, respectively. The panel reached consensus that outpatient palliative care referral should be based on both automatic referral and clinician-based referral (agreement = 86%). Only 18% felt that referral should be clinician-based alone, and only 7% agreed that referral should be based on automatic referral only. There was consensus that automatic referral criteria may increase the number of referrals (agreement = 98%), facilitate earlier palliative care access, and help administrators to set benchmarks for quality improvement (agreement = 86%). Our panelists favored the combination of automatic referral to augment clinician-based referral. This integrated referral framework may inform policy and program development. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof Supportive Care in Cancer
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Critical pathways
dc.subject Delphi technique
dc.subject Neoplasms
dc.subject Outpatients
dc.subject Palliative care
dc.subject Referral and consultation
dc.subject Standards
dc.subject ONCOLOGY
dc.subject INTEGRATION
dc.subject CONSENSUS
dc.subject 3122 Cancers
dc.title Automatic referral to standardize palliative care access : an international Delphi survey en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of Oncology
dc.contributor.organization University of Helsinki
dc.contributor.organization HUS Comprehensive Cancer Center
dc.description.reviewstatus Peer reviewed
dc.relation.issn 0941-4355
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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