palliative-care-2019-keynote

11 / 14

allied
academies
Page 35
September 23-24, 2019 | Prague, Czech Republic
2nd International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
Notes:
Background: In crisis situations, comprehensive palliative
care in care homes is frequently hindered by the absence of
a doctor.
Aim: To improve advanced care planning in care homes by the
establishment of medical coordination.
Methods: Medical coordination facilities were established
in three care homes housing a total of 266 residents. The
effect was compared with three care homes without medical
coordination. Formative evaluation: In two focus groups, at
the start and around the end of the twelve-month period
the involved persons in the test and reference care homes
as well as practicing doctors and health experts exchanged
their views on the subject. 16 experts provided detailed
information about specific aspects of the model project in the
course of qualitative interviews. Furthermore, in a summative
evaluationthefollowingaspectswereinvestigated:emergency
plans, the registration of presumed will, emergency doctors'
missions, the number of ambulance services, and the
provision of emergency medication. Statistics: Mann-Whitney
U-test, Box-Ljung.
Results: Representatives of the test care homes reported their
positive views concerning themodel project: the expansion of
consciousness and the introduction of structures for palliative
work in homes for the aged, optimized coordination between
nurses and doctors, the systematic documentation of helpful
emergency plans, stores of on-demand medication in care
homes, uninterrupted care, improvement of quality, and
reduction of costs. The time curves for the five care-home-
related parameters revealed significantly positive changes
compared to reference care homes: 74%:48% and 61%:39%.
Conclusion: Medical coordination in the care home improves
the quality of care for the residents. The economic evaluation
shows that undignified ambulance services and unnecessary
emergency doctors' missions can be considerably reduced by
medical coordination.
Speaker Biography
Gebhard Mathis studied at the Medical University of Medicine in Vienna.
He received the MD there at 2019. He worked on palliative medicine since
in different fields: Foundation of Palliative Courses in Austria 1999, the
Palliative Care Station in LKH Hohenems 2003, He also has more than 100
publications.
e:
Gebhard Mathis
Praxis Internal Medicine, Austria
Medical coordination in the nurse home improves the treatment of
residents and contentment of the staff
Journal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2