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Table 3 Characteristics of the models

From: Integrated palliative care in Europe: a qualitative systematic literature review of empirically-tested models in cancer and chronic disease

First author

Focus of the model

Setting

Time frame

Disciplines represented

Collaboration strategy

Cancer

 Jordhoy et al. [20]

treating, training, consulting

Hospital, GP’s, nursing homes, home care

end of life

GP, community nurse, consultant nurse, physician from PMU.

Model-responsible team meetingsa

 Smeenk et al. [21]

treating, training, consulting

Hospital, primary care team

concurrent, end of life

Specialist nurse coordinator, oncology ward nurses + medical specialist, transmural home team with nurses from hospital + day care.

Model-responsible team meetings, protocol

 Colombet et al. [22]

treating, consulting

Hospital

concurrent, end of life

15 referral physicians: oncologists who prescribe chemotherapy, of whom 2 have been trained in PC fundamentals. MDT: PCT and oncology staff. PCT: PC specialists, nurses, secretary assistant, psychologist. Oncology staff: physicians, nurses, head nurses, social workers, psychologists, secretaries.

Model-responsible team + additional experts meetingb

 Schreml, et al. [23]

treating, training, consulting

Hospital

concurrent, end of life

Physicians and nurses.

Model-responsible team meetings

End-of-life (Liverpool Care Pathway)

 Constantini et al. [24]

treating, training

Hospital

end of life

PCT: 2 physicians, 3 nurses, 2 psychologists.

protocol

LCP training: nurses and physicians of the hospital wards.

 Veerbeek et al. [25]

treating

Hospital, nursing home and home

end of life

Physicians and nurses.

Model-responsible team meetings, protocol

Malignant and Non-malignant Disease

 Grande et al. [26]

treating

Home

end of life

Six qualified nurses, 2 nursing auxiliaries, CHAH coordinator, agency nursing care.

Model-responsible team meetings

 Vicente et al.[27]

treating

Hospital, home

end of life

PC home team as an MDT comprised by physicians, nurses, nurse assistants, and administrative assistants, social workes, psychologists.

Model-responsible team meetings

Dementia

 Sampson et al. [28]

treating, training, consulting

Hospital, home

end of life

Senior nurse experienced in dementia and trained in PC; clinical MDT.

Model-responsible team meetings

 Multiple Sclerosis

 Higginson et al. [29]

treating, consulting

Home, hospital outpatient clinic, care homes, hospital

concurrent

Part-time PC medicine consultant, 1 part-time clinical nurse specialist, 1 administrator, 1 psychosocial worker.

Model-responsible team meetings

 Edmonds et al. [30]

treating, consulting

Home, hospital outpatient clinics, care homes, hospital

concurrent

Part-time consultant in PC Medicine with specialist interest in neurological conditions, part-time clinical nurse specialist, full time administrator.

Model-responsible team + additional experts meeting

HIV/AIDS

 Koffman et al. [31]

treating, consulting

Hospice, home

end of life

Nurses trained in PC; bank nurses for night-sitting; 2 PC medicine consultants.

Model-responsible team + additional experts meeting

Chronic Heart Failure

 Pattenden et al. [32]

treating, consulting

Homes, hospice, ‘care of the elderly’ wards

concurrent, end of life

Heart Failure nurse specialists, MCN nurses, MCN health care assistants, cardiology, ‘care for the elderly’ consultants, district nurses, GPs.

Model-responsible team + additional experts meeting, protocol

Advanced Chronic Disease

 Navarro et al. [33]

treating

Hospital

concurrent

The MDT consists of physicians, head nurse, ward nurses, auxiliary nurses, collaborating with a dietician, psychologist, social worker, rehabilitation physician, physiotherapist, occupational therapist and speech therapist.

Model-responsible team + additional experts meeting

  1. Table 3 describes five characteristics of the included studies: the focus of the model, the setting, the time frame of the model, the functions represented, and collaboration strategy involved
  2. PC palliative care, GP general practitioner, PMU palliative medicine unit, PCT palliative care team, MDT multidisciplinary team, LCP Liverpool Care Pathway, MNC Marie Curie Cancer Care, CHAH Cambridge hospital at home service, ESAD Home Care Support Team, MDM multidisciplinary meetings
  3. ameetings of the team that is involved in the implementation of the model
  4. bmeetings between the team responsible for the implementation of the model and other disciplines involved in the treatment of the patient