At a glance
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Randomized Trial of Care Management to Improve End of Life Care
In Brief
A clinical study evaluating Veterans Integrated Palliative Care Nurse Case Manager for Palliative Care. Completed, enrolled 400 participants across 1 site.
Detailed Summary
Improving end-of-life care is of critical importance to the VA as it faces an increasingly aging and dying veteran population. Previous work within and outside of the VA has demonstrated serious deficiencies in the quality of care delivered near the end of life. Moreover, veterans in the VA system suffer from a higher rate of chronic and life-limiting illnesses and decrements in health-related quality of life compared with the age-matched controls. In FY2000 approximately 104,000 enrolled veterans died in the U.S. including 27,200 that died as inpatients in VA acute or chronic care medical wards. The care model on which the proposed study is based is theoretically sound and has been piloted in a study that suggested its use can help the VA achieve substantial quality improvement at reduced costs.
Study Details
Timeline
Interventions
Palliative Care nurse case management