Virtual models of care for people with palliative care needs living in their own home: A systematic meta-review and narrative synthesis.

Disalvo, D; Agar, M; Caplan, G; Murtagh, FE; Luckett, T; Heneka, N; Hickman, L; Kinchin, I; Trethewie, S; Sheehan, C; Urban, K; Cohen, J; Harlum, J; Long, B; Parker, T; Schaefer, I; Phillips, J

Virtual models of care for people with palliative care needs living in their own home: A systematic meta-review and narrative synthesis.

Disalvo, D Agar, M

Caplan, G Murtagh, FE Luckett, T

Heneka, N

Hickman, L

Kinchin, I

Trethewie, S Sheehan, C Urban, K Cohen, J Harlum, J Long, B Parker, T Schaefer, I

Phillips, J

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Palliative Medicine, 2021, 35, (8), pp. 1385-1406
Issue Date:: 2021-06-25

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Field	Value	Language
dc.contributor.author	Disalvo, D
dc.contributor.author	Agar, M https://orcid.org/0000-0002-6756-6119
dc.contributor.author	Caplan, G
dc.contributor.author	Murtagh, FE
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Heneka, N https://orcid.org/0000-0001-8102-1871
dc.contributor.author	Hickman, L https://orcid.org/0000-0002-5116-6559
dc.contributor.author	Kinchin, I https://orcid.org/0000-0003-0133-2763
dc.contributor.author	Trethewie, S
dc.contributor.author	Sheehan, C
dc.contributor.author	Urban, K
dc.contributor.author	Cohen, J
dc.contributor.author	Harlum, J
dc.contributor.author	Long, B
dc.contributor.author	Parker, T
dc.contributor.author	Schaefer, I https://orcid.org/0000-0001-9941-7671
dc.contributor.author	Phillips, J https://orcid.org/0000-0002-3691-8230
dc.date.accessioned	2021-09-16T05:12:09Z
dc.date.available	2021-09-16T05:12:09Z
dc.date.issued	2021-06-25
dc.identifier.citation	Palliative Medicine, 2021, 35, (8), pp. 1385-1406
dc.identifier.issn	0269-2163
dc.identifier.issn	1477-030X
dc.identifier.uri	http://hdl.handle.net/10453/150593
dc.description.abstract	Background: Access to palliative care in the community enables people to live in their preferred place of care, which is often home. Community palliative care services struggle to provide timely 24-h services to patients and family. This has resulted in calls for ‘accessible and flexible’ models of care that are ‘responsive’ to peoples’ changing palliative care needs. Digital health technologies provide opportunities to meet these requirements 24-h a day. Aim: To identify digital health technologies that have been evaluated for supporting timely assessment and management of people living at home with palliative care needs and/or their carer(s), and the evidence-base for each. Design: A systematic review of systematic reviews (‘meta-review’). Systematic reviews evaluating evidence for virtual models of palliative or end-of-life care using one or more digital health technologies were included. Systematic reviews were evaluated using the Risk of Bias Tool for Systematic Reviews. A narrative approach was used to synthesise results. Data sources:Medline, Embase, Web of Science, CINAHL and Cochrane Database of systematic reviews were searched for English-language reviews published between 2015 and 2020. Results: The search yielded 2266 articles, of which 12 systematic reviews met criteria. Sixteen reviews were included in total, after four reviews were found via handsearching. Other than scheduled telehealth, video-conferencing, or after-hours telephone support, little evidence was found for digital health technologies used to deliver virtual models of palliative care. Conclusions: There are opportunities to test new models of virtual care, beyond telehealth and/or video conferencing, such as 24-h command centres, and rapid response teams.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE Publications
dc.relation	Maridulu Budyari Gumal - The Sydney Partnership for Health, Education, Research and Enterprise (SPHERE)
dc.relation.ispartof	Palliative Medicine
dc.relation.isbasedon	10.1177/02692163211024451
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	Disalvo, Domenica; Agar, Meera; Caplan, Gideon; Murtagh, Fliss Em; Luckett, Tim; Heneka, Nicole; Hickman, Louise; Kinchin, Irina; Trethewie, Susan; Sheehan, Caitlin, et al. \| Virtual models of care for people with palliative care needs living in their own home: A systematic meta-review and narrative synthesis. . \| Palliative medicine \| 25 Jun 2021\| [10.1177/02692163211024451]
dc.subject	1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	Gerontology
dc.title	Virtual models of care for people with palliative care needs living in their own home: A systematic meta-review and narrative synthesis.
dc.type	Journal Article
utslib.citation.volume	35
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Centre for Health Technologies (CHT)
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-09-16T05:12:09Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	35
utslib.citation.issue	8

Abstract:

Background: Access to palliative care in the community enables people to live in their preferred place of care, which is often home. Community palliative care services struggle to provide timely 24-h services to patients and family. This has resulted in calls for ‘accessible and flexible’ models of care that are ‘responsive’ to peoples’ changing palliative care needs. Digital health technologies provide opportunities to meet these requirements 24-h a day. Aim: To identify digital health technologies that have been evaluated for supporting timely assessment and management of people living at home with palliative care needs and/or their carer(s), and the evidence-base for each. Design: A systematic review of systematic reviews (‘meta-review’). Systematic reviews evaluating evidence for virtual models of palliative or end-of-life care using one or more digital health technologies were included. Systematic reviews were evaluated using the Risk of Bias Tool for Systematic Reviews. A narrative approach was used to synthesise results. Data sources:Medline, Embase, Web of Science, CINAHL and Cochrane Database of systematic reviews were searched for English-language reviews published between 2015 and 2020. Results: The search yielded 2266 articles, of which 12 systematic reviews met criteria. Sixteen reviews were included in total, after four reviews were found via handsearching. Other than scheduled telehealth, video-conferencing, or after-hours telephone support, little evidence was found for digital health technologies used to deliver virtual models of palliative care. Conclusions: There are opportunities to test new models of virtual care, beyond telehealth and/or video conferencing, such as 24-h command centres, and rapid response teams.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150593