A Delphi study to guide the development of a clinical indicator tool for palliative care in South Africa
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | A Delphi study to guide the development of a clinical indicator tool for palliative care in South Africa | |
| Creator | Krause, Rene Barnard, Alan Burger, Henriette de Vos, Andre Evans, Katya Farrant, Lindsay Fouche, Nicki Kalula, Sebastiana Morgan, Jennie Mohamed, Zainab Panieri, Eugenio Ras, Tasleem Raubenheimer, Peter Verburg, Estelle Boyd, Kirsty Gwyther, Liz | |
| Description | Background: The South African National Policy Framework and Strategy on Palliative Care (NPFSPC) recommends that when integrating palliative care (PC) into the health system, a PC indicators tool should be used to guide clinicians to recognise a patient who should receive PC. The policy document recommends ‘a simple screening tool developed for use in South Africa that would assist healthcare professionals (HCPs) to recognise patients who may have unmet palliative care needs’.Aim: This research study sought to develop South African consensus on indicators for PC to assist clinicians to recognise a patient in need of PC.Setting: The South African healthcare setting.Methods: A Delphi study was considered suitable as a methodology to develop consensus. The methodology was based on the Conducting and REporting of DElphi studies (CREDES) guidance on Delphi studies to ensure rigour and transparency in conducting and reporting. Six different Delphi rounds were used to develop consensus. Each round allowed participants to anonymously rate statements with predefined rating scales.Results: Cognisant of the disparities in healthcare provision and access to equitable healthcare in South Africa, the expert advisory group recommended, especially for South Africa, that ‘this tool is for deteriorating patients with an advanced life-limiting illness where all available and appropriate management for underlying illnesses and reversible complications has been offered’. The expert advisory group felt that disease-specific indicators should be described before the general indicators in the South African indicators tool, so all users of the tool orientate themselves to the disease categories first. This study included three new domains to address the South African context: trauma, infectious diseases and haematological diseases. General indicators for PC aligned with the original Supportive and Palliative Care Indicators Tool (SPICT) tool.Conclusion: The Supportive and Palliative Care Indicators Tool for South Africa (SPICTTM-SA) is a simple screening tool for South Africa that may assist HCPs to recognise patients who may have unmet PC needs. | |
| Publisher | AOSIS | |
| Date | 2022-05-19 | |
| Identifier | 10.4102/phcfm.v14i1.3351 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 7 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/3351/5353
https://phcfm.org/index.php/phcfm/article/view/3351/5354
https://phcfm.org/index.php/phcfm/article/view/3351/5355
https://phcfm.org/index.php/phcfm/article/view/3351/5356
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