Evaluation of the effectiveness of the physician education program on primary palliative care in heart failure

Major cardiology societies' guidelines support integrating palliative care into heart failure (HF) care. This study aimed to identify the effectiveness of the HEart failure Palliative care Training program for comprehensive care providers (HEPT), a physician education program on primary palliat...

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Bibliographic Details
Published in:PloS one 2022-02, Vol.17 (2), p.e0263523-e0263523
Main Authors: Shibata, Tatsuhiro, Oishi, Shogo, Mizuno, Atsushi, Ohmori, Takashi, Okamura, Tomonao, Kashiwagi, Hideyuki, Sakashita, Akihiro, Kishi, Takuya, Obara, Hitoshi, Kakuma, Tatsuyuki, Fukumoto, Yoshihiro
Format: Article
Language:English
Subjects:
Adult
Biology and Life Sciences
Cancer
Cardiology
Cardiology - education
Care and treatment
Communication
Congestive heart failure
Consent
Education
Educational aspects
Female
Health Knowledge, Attitudes, Practice
Heart failure
Heart Failure - therapy
Hospitals
Humans
Internal medicine
Knowledge
Male
Management
Medical research
Medicine
Medicine and Health Sciences
Middle Aged
Multivariate statistical analysis
Pain
Palliation
Palliative care
Palliative Care - methods
Palliative Care - organization & administration
Palliative treatment
Patients
People and Places
Physicians
Quality of Health Care
Questionnaires
Social Sciences
Surveys and Questionnaires
Training
Treatment Outcome
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Summary:Major cardiology societies' guidelines support integrating palliative care into heart failure (HF) care. This study aimed to identify the effectiveness of the HEart failure Palliative care Training program for comprehensive care providers (HEPT), a physician education program on primary palliative care in HF. We performed a pre- and post-test survey to evaluate HEPT outcomes. Physician-reported practices, difficulties and knowledge were evaluated using the Palliative Care Self-Reported Practices Scale in HF (PCPS-HF), Palliative Care Difficulties Scale in HF (PCDS-HF), and Palliative care knowledge Test in HF (PT-HF), respectively. Structural equation models (SEM) were used to estimate path coefficients for PCPS-HF, PCDS-HF, and PT-HF. A total of 207 physicians participated in the HEPT between February 2018 and July 2019, and 148 questionnaires were ultimately analyzed. The total PCPS-HF, PCDS-HF, and PT-HF scores were significantly improved 6 months after HEPT completion (61.1 vs 67.7, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0263523