Transcript Document

Facilitating access to ACP and AD
evidence in palliative care
Tieman JJ, Rawlings D
Flinders University
ACPEL
May 2013
Outline
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Palliative care
CareSearch
Research evidence and practice
Advance Care Planning/Advance
Directives
Palliative care
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Cure is not the goal of care
Physical, psychosocial, care planning elements
Referral based, co-morbidity, multidisciplinary
Patient and family as unit of care
Care provided in many settings
Many health professionals
Often a family carer
About CareSearch
• Palliative care resource
– Evidence based, quality processes
– Online
– Free to use, open access
– Funded by DoHA
• Audience
– Health professional
– Patients, carers, families
The expanding evidence base
• Evidence and guidance is growing.
– 75 trials & 11 systematic reviews being published
every day [Bastian et al, 2010]
• How do individuals, services and systems
know about, find, select what is important and
ensure its use?
– e.g. Family caregiver psychosocial
and bereavement support guidelines;
COMPAC Guidelines; EAPC Pain
systematic reviews/guidelines
CareSearch and ACP/AD?
• Content theme running across the
website
• Specific resources contextualised for
audiences and needs
• Engagement and partnerships
– Representation from core agencies (eg
RCP, PCA)
– Cross promotion and integration
Clinical and
Evidence
Resources
Filter-based Searching:
Easy as ABC
In Hubs
Patient, carer,
community
resources
2012 Page views by resource
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Clinical Practice Pages:
Patients and Families:
RAC Hub:
Nurses Hub:
GP Hub:
Finding Evidence DBs:
10,173
9,828
1,054
8,369
3,429
5,823
Other Activities
• Research
– CareSearch PhD student with AD focus in
online environment
– Working with project teams and research
groups
• Focus promotions
– Nurse Hub Case Study (May 2013)
• My Learning module (Late 2013)
Conclusion
• Facilitating access to the evidence by:
– Consolidating and synthesising evidence
– One-click searching in PubMed
• Supporting knowledge transfer by:
– Contextualising for audience
• Encouraging use by:
– Partnering with relevant agencies
– Incorporating as part of different settings and
activities
– Promoting and disseminating
CareSearch would like to thank the many people
who contribute their time and expertise to the project including
members of the National Advisory Group and the Knowledge
Network Management Group.
CareSearch is funded by the Australian Government
Department of Health and Ageing.
www.caresearch.com.au