Organisation des soins palliatifs en Belgique - KCE

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12 Palliative Care KCE reports 115 PART TWO: Literature review The literature review has three parts: • Definition of the concepts “palliative care” and “palliative patient”; • Definition of the “needs of a palliative patient”, • Literature on health care models in palliative care.
KCE Reports 115 Palliative Care 13 3 DEFINITIONS OF PALLIATIVE CARE AND PALLIATIVE PATIENT 3.1 INTRODUCTION The aims of this first part are: 1. To define theoretically what is “palliative care”; 2. To define operationally a palliative patient in order to: a. include subjects in the surveys of this project; b. propose a practical definition of patients who are eligible for a financial covering of the compulsory health insurance. 3.2 METHODOLOGY Definitions of “palliative care” and “palliative patient” were searched on associations’ websites, as well as in scientific indexed medical literature and grey literature. Some references were added by hand searching. 3.2.1 Search on the Internet The search started with the most widely used definitions that were currently used (at the start of the project i.e. 2007) by: • International institutions: the World Health Organisation (WHO), the European Association of Palliative Care (EAPC); • National associations in Western countries known for their advance in palliative care and whose website was in English, French, Dutch or German: Belgium, UK, The Netherlands, Germany, France, Sweden, Switzerland, Australia, Canada, USA. Definitions were found on scientific societies’ websites as well as on websites from governmental health departments. 3.2.2 Search in medical databases 3.2.2.1 Databases Detailed search strategies are presented in the appendices. The search was completed by articles selected in the medical literature indexed in Medline, Embase, Psychinfo and CINHAL. 3.2.2.2 Keywords We used the following terms as free text or as terms of the thesaurus when possible: “Palliative care”, “terminally ill”, “terminal care”, “critical illness”, “palliative patients”, “definition”, “hospice care”, “incurable”, “attitude to death”, “terminal cancer”. 3.2.2.3 Inclusion / exclusion criteria: Papers published from 2002 to 2008, in French, Dutch or English, concerning humans, whatever gender and whatever age were included. Letters and editorials were excluded. Articles were selected on title and abstract separately by two reviewers. In case of disagreement, reviewers tried to find out a consensus.
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Dépôt légal : D/2009/10.273/41
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35. Etude relative aux coûts poten
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108. Le Tiotropium dans le traiteme
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