Home-Based Palliative Care Impact on Providers

Status Completed

Clinical Trial Summary

This research challenges our current approach to fee-for-service palliative care and is significant because it will advance the fields of palliative and person-centered care, clinical practice, public policy, and health care financing. However, the most important effect will be on seriously ill patients and their families through increased access to palliative care outside of hospitals, enhanced palliative continuity across health settings, and improved affordability via reformed payment structures. Nation-wide replication of reimbursable HBCP models is anticipated.

Clinical Trial Description

This study will undertake an effort to address the two-pronged gap in providing palliative care in the U.S. (episodic care and misaligned financing structures). This will be done by implementing an evidence-based Home-Based Palliative Care (HBPC) model-originally developed in managed care-into primary fee-for-service as a covered health benefit; the very first translation of this model by a private health insurer in the U.S. The purpose of the present study is to investigate the provider and organizational-level impact of implementing reimbursable HBPC in primary care with the goal of characterizing a set of implementation strategies and eliciting key mechanisms on how to widely replicate person-centered, reimbursable HBPC in primary care settings across the country. To this end, seven research questions will be answered that address the study purpose pertaining to feasibility, barriers, facilitators, person-centeredness, and job satisfaction. This study is guided by the Diffusion of Innovations theory. The investigators will conduct primary collection and analysis of qualitative focus group data at each study site. Key outcomes for the qualitative component include feasibility, barriers, and facilitators of translating HBPC, as well as characteristics associated with rate of HBPC diffusion and implementation strategies. This project challenges our current approach to fee-for-service palliative care and seeks to shift current research. Nation-wide replication of reimbursable HBCP models is anticipated. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT06140004
Study type	Observational
Source	University of Southern California
Contact
Status	Completed
Phase
Start date	September 15, 2016
Completion date	October 31, 2020

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT04673760` - The PROAKTIV Study	N/A
Completed	`NCT03520023` - Critical Care and Palliative Care Medicine Together in the ICU	N/A
Completed	`NCT01990742` - Improving Palliative Care Through Teamwork	N/A
Not yet recruiting	`NCT05434208` - Effects of Nurse-led Telephone Based Service for Early Palliative Care (PALTEL)	N/A
Not yet recruiting	`NCT03267706` - Introducing the Palliative Care Comprehensive Tool in Family Medicine	N/A
Completed	`NCT02845817` - Requests for Euthanasia and Assisted Suicide	N/A
Recruiting	`NCT02778347` - Development and Validation of a Comprehensive Standardised Clinical Assessment Tool for Patient Needs	N/A
Completed	`NCT01934413` - Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study	N/A
Completed	`NCT01933789` - Improving Communication About Serious Illness	N/A
Recruiting	`NCT01170000` - Timely End-of-Life Communication to Parents of Children With Brain Tumors	N/A
Recruiting	`NCT04052074` - Complementary Therapy in Home Palliative Care Patients and Their Caregivers	N/A
Recruiting	`NCT05935540` - ACP-Family Programme for Palliative Care Patients and Their Family Member	N/A
Active, not recruiting	`NCT02689375` - A Prospective, Open Label, Pilot Study of Patient OutcoMes Following Successful TriAl of High Frequency SpInal CorD Stimulation at 10kHz (HF10™) Leading to Permanent Implant Compared to Trial Failure and Standard CarE for the TreatmeNt of Persistent Low BACK Pain of Neuropathic Origin	N/A
Recruiting	`NCT05520281` - Short-term Psychodynamic Psychotherapy in Serious Physical Illness	N/A
Completed	`NCT04333719` - Prevalence of Deep Sedation in Terminal Palliative Phase
Recruiting	`NCT03286127` - Palliative Outcome Evaluation Muenster I
Completed	`NCT06211816` - Efficacy of End-of-life Communication Strategies on Nurses in the Intensive Care Unit	N/A
Completed	`NCT04857060` - Palliative Care Educator	N/A
Completed	`NCT04491110` - Intervention to Improve Quality of Sleep of Palliative Patient Carers in the Community: Clinical Trial	N/A
Withdrawn	`NCT03959813` - Evaluation of the Impact of Psychomotricity on the Patients Body Experience in Palliative Care

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.