A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia.
systematic_review · Level I
Where this comes from
- Record sourced from PubMed, PMID 30854933.
- Also identified by DOI 10.1177/0269216319834227 and PMC identifier 6439949.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
A challenge for commissioners and providers of end-of-life care in dementia is to translate recommendations for good or effective care into quality indicators that inform service development and evaluation. To identify and critically evaluate quality indicators for end-of-life care in dementia. We found 8657 references, after de-duplication. In all, 19 publications describing 10 new and 3 updated sets of indicators were included in this review. Ultimately, 246 individual indicators were identified as being relevant to dementia end-of-life care and mapped against EAPC guidelines. We systematically derived and assessed a set of quality indicators using a robust framework that provides clear definitions of aspects of palliative care, which are dementia specific, and strengthens the theoretical underpinning of new complex interventions in end-of-life care in dementia.
Medical subject headings
- Dementia
- Palliative Care
- Quality Indicators, Health Care