Sistema de Salut de Catalunya
[Crespo I] Departament de Psicologia, Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. [Goni-Fuste B, Monforte-Royo C, Garcia-Salanova A] Departament d’Infermeria, Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. [Rodríguez-Prat A] Departament d’Humanitats, Facultat d'Humanitats, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. [Alonso-Babarro A] Hospital Universitario La Paz, Universitat Autónoma de Madrid, Madrid, Spain. [Alvaro M, Nitola-Mendoza L] Servei de Cures Pal·liatives, Institut Català d'Oncologia (ICO), Badalona, Spain. [Bavestrello P, Sequeiros Cruz C, González-Barboteo J] Grup de recerca i coneixement en cures pal·liatives (GRICOPAL), Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat, Spain. [Bottaro D] Servei de Cures Pal·liatives, Institut Oncològic Catalunya Sud (IOCS), Hospital Universitari Salut Sant Joan de Reus, Reus, Spain. Facultat de Medicina, Universitat Rovira i Virgili, Reus, Spain. [Casas E, Sala C, Torremorell D] Servei de Cures Pal·liatives, Consorci Sanitari de Terrassa (CST), Hospital Universitari de Terrassa, Terrassa, Spain. [Garrillo J, Serna J] Hospital Universitari Vall d'Hebron (HVH), Barcelona, Spain. [Nabal Vicuña M] Servei de Cures Pal·liatives, Hospital Universitari Arnau de Vilanova, Lleida, Spain. Facultat de Medicina, Universitat de Lleida (UDL), Lleida, Spain. Institut de Recerca Biomèdica de Lleida Fundació Dr. Pifarré (IRBLLEIDA), Lleida, Spain. [Rodríguez D] Servei de Cures Pal·liatives, Institut Oncològic Catalunya Sud (IOCS), Hospital Universitari Sant Joan de Reus, Reus, Spain. Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili (URV), Reus, Spain. [Julià-Torras J] Servei de Cures Pal·liatives, Institut Català d'Oncologia (ICO), Badalona, Spain. Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain
Departament de Salut
2025-09-03T11:10:05Z
2025-09-03T11:10:05Z
2025-07-31
Palliative care; Needs assessment; Mixed-methods study
Cures pal·liatives; Avaluació de necessitats; Estudi de mètodes mixtos
Cuidados paliativos; Evaluación de necesidades; Estudio de métodos mixtos
A recent systematic review highlighted the lack of consensus on the needs that should be assessed in palliative care to develop the initial therapeutic plan. An agreed clinical interview guide for Multidimensional needs Assessment in Palliative Care (MAP) has recently been proposed. To evaluate the feasibility of implementing the MAP guide in clinical practice. A multicenter explanatory sequential mixed-methods feasibility study was conducted, assessing five indicators: a) acceptability to patients and family members (assessed by phone); b) participation (proportion of eligible patients assessed); c) applicability (time to administer); d) clinical utility as perceived by physicians; and e) implementation in practice. Twenty-four palliative care physicians across 10 services (outpatient, in-patient, domiciliary care) administered the MAP guide in 239 initial assessments of patients with advanced cancer. A focus group was conducted with 17 of the physicians to gather insights. Indicators of acceptability, participation, applicability, and perceived clinical utility were fulfilled in over 90% of interviews. Implementation fell just short of the criterion (78% of needs assessed vs. 80% threshold). Patients and families provided highly positive feedback on the appropriateness of the MAP guide. Physicians found it flexible and easy to integrate into clinical practice, helping them structure the initial assessment and offer a much more comprehensive assessment of patients' needs. The study supports the feasibility of using the MAP guide to explore palliative care needs. The MAP guide can help ensure that professionals do not overlook unmet needs, which could increase suffering and undermine quality of life.
Instituto de Salud Carlos III, Fondo Europeo de Desarrollo Regional (FEDER) grant number PI19/01901. The funders had no involvement in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Article
Published version
English
Càncer - Tractament pal·liatiu; Assistència sanitària - Avaluació; Estudis de viabilitat; HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Palliative Care; HEALTH CARE::Health Services Administration::Quality of Health Care::Quality Assurance, Health Care::Guidelines as Topic::Practice Guidelines as Topic; HEALTH CARE::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Needs Assessment; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Feasibility Studies; ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::asistencia al paciente::cuidados paliativos; ATENCIÓN DE SALUD::administración de los servicios de salud::calidad de la atención sanitaria::garantía de calidad de la atención sanitaria::directrices como asunto::guías de práctica clínica como asunto; ATENCIÓN DE SALUD::calidad, acceso y evaluación de la atención sanitaria::prestación sanitaria::evaluación de necesidades; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios de viabilidad
Public Library of Science
PLoS ONE;20(7)
https://www.doi.org/10.1371/journal.pone.0329354
info:eu-repo/grantAgreement/ISCIII/FEDER/PI19/01901
Attribution-NonCommercial 4.0 International
https://creativecommons.org/licenses/by/4.0/
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