Palliative Care Phase: Inter-rater reliability and acceptability in a national study
Background: The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement...
Gespeichert in:
| Veröffentlicht in: | Palliative medicine Jg. 29; H. 1; S. 22 - 30 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
London, England
SAGE Publications
01.01.2015
Sage Publications Ltd |
| Schlagworte: | |
| ISSN: | 0269-2163, 1477-030X, 1477-030X |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Background:
The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding.
Aim:
To test the reliability and acceptability of revised definitions of Palliative Care Phase.
Design:
Multi-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase.
Setting/participants:
Clinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service.
Results:
A total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians’ rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61–0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase.
Conclusion:
Policy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes. |
|---|---|
| AbstractList | The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding.BACKGROUNDThe concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding.To test the reliability and acceptability of revised definitions of Palliative Care Phase.AIMTo test the reliability and acceptability of revised definitions of Palliative Care Phase.Multi-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase.DESIGNMulti-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase.Clinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service.SETTING/PARTICIPANTSClinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service.A total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians' rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61-0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase.RESULTSA total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians' rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61-0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase.Policy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes.CONCLUSIONPolicy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes. Background: The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding. Aim: To test the reliability and acceptability of revised definitions of Palliative Care Phase. Design: Multi-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase. Setting/participants: Clinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service. Results: A total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians' rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61-0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase. Conclusion: Policy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes. 15 references The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding. To test the reliability and acceptability of revised definitions of Palliative Care Phase. Multi-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase. Clinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service. A total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians' rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61-0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase. Policy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes. Background: The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was developed in Australia about 20 years ago and is used routinely for communicating clinical status, care planning, quality improvement and funding. Aim: To test the reliability and acceptability of revised definitions of Palliative Care Phase. Design: Multi-centre cross-sectional study involving pairs of clinicians independently rating patients according to revised definitions of Palliative Care Phase. Setting/participants: Clinicians from 10 Australian palliative care services, including 9 inpatient units and 1 mixed inpatient/community-based service. Results: A total of 102 nursing and medical clinicians participated, undertaking 595 paired assessments of 410 patients, of which 90.7% occurred within 2 h. Clinicians rated 54.8% of patients in the stable phase, 15.8% in the unstable phase, 20.8% in the deteriorating phase and 8.7% in the terminal phase. Overall agreement between clinicians’ rating of Palliative Care Phase was substantial (kappa = 0.67; 95% confidence interval = 0.61–0.70). A moderate level of inter-rater reliability was apparent across all participating sites. The results indicated that Palliative Care Phase was an acceptable measure, with no significant difficulties assigning patients to a Palliative Care Phase and a good fit between assessment of phase and the definition of that phase. The most difficult phase to distinguish from other phases was the deteriorating phase. Conclusion: Policy makers, funders and clinicians can be confident that Palliative Care Phase is a reliable and acceptable measure that can be used for care planning, quality improvement and funding purposes. |
| Author | Yates, Patsy Allingham, Samuel Frederic Eagar, Kathy Pidgeon, Tanya Johnson, Claire Elizabeth Masso, Malcolm Banfield, Maree |
| Author_xml | – sequence: 1 givenname: Malcolm surname: Masso fullname: Masso, Malcolm email: mmasso@uow.edu.au – sequence: 2 givenname: Samuel Frederic surname: Allingham fullname: Allingham, Samuel Frederic – sequence: 3 givenname: Maree surname: Banfield fullname: Banfield, Maree – sequence: 4 givenname: Claire Elizabeth surname: Johnson fullname: Johnson, Claire Elizabeth – sequence: 5 givenname: Tanya surname: Pidgeon fullname: Pidgeon, Tanya – sequence: 6 givenname: Patsy surname: Yates fullname: Yates, Patsy – sequence: 7 givenname: Kathy surname: Eagar fullname: Eagar, Kathy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25249239$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNkc1r20AQxZfgkthp7j2VhV56UbrfknorJk0ChvrgQm9itBqlG2TJ3V0F_N9nbccQDA25zMLM7z1m38zIpB96JOQTZ9ec5_k3JkwpuJFcac0Lrs7IlKs8z5hkfyZkuhtnu_kFmYXwyBiXzKhzciG0UKWQ5ZSsltB1DqJ7QjoHj3T5FwJ-p_d9RJ95SJV6TETtOhe3FPqGgrW4iceO6ynQPjkMPXQ0xLHZfiQfWugCXr28l-T3z5vV_C5b_Lq9n_9YZFYZFTMtueatAY06h6YumhqUlkarAsGihLZkJS-UwEaDEBqLxjBmW2PrklmARl6SrwffjR_-jRhitXbBYtdBj8MYKm5ywUqdHN-BylzrMsWZ0C8n6OMw-vS5PWVUUaSoE_X5hRrrNTbVxrs1-G11jDYB5gBYP4Tgsa2si_uYogfXVZxVuxtWpzdMQnYiPHq_IckOkgAP-Grd__HPHGqoAQ |
| CitedBy_id | crossref_primary_10_1089_jpm_2022_0576 crossref_primary_10_1089_jpm_2019_0295 crossref_primary_10_1111_jan_14966 crossref_primary_10_1186_s12904_024_01395_6 crossref_primary_10_1016_j_jpainsymman_2018_07_020 crossref_primary_10_1136_bmjopen_2018_026177 crossref_primary_10_1016_j_anzjph_2023_100019 crossref_primary_10_1136_bmjopen_2017_020071 crossref_primary_10_1016_j_jpainsymman_2022_01_014 crossref_primary_10_1177_02692163251331167 crossref_primary_10_1016_j_jpainsymman_2015_12_311 crossref_primary_10_1136_bmjspcare_2018_001534 crossref_primary_10_1186_s12904_024_01565_6 crossref_primary_10_1055_a_1948_1245 crossref_primary_10_1016_j_jpainsymman_2023_11_011 crossref_primary_10_1177_02692163231154760 crossref_primary_10_57187_s_4132 crossref_primary_10_1136_spcare_2022_004111 crossref_primary_10_1186_s12904_021_00897_x crossref_primary_10_1016_j_ijnurstu_2021_103978 crossref_primary_10_1186_s12904_018_0294_4 crossref_primary_10_1177_02692163221115331 crossref_primary_10_1111_ecc_13331 crossref_primary_10_1136_bmjopen_2019_035683 crossref_primary_10_1177_1833358320908957 crossref_primary_10_1177_02692163221122326 crossref_primary_10_1136_spcare_2022_003806 crossref_primary_10_1007_s00520_025_09919_3 crossref_primary_10_1136_bmjspcare_2021_003326 crossref_primary_10_1136_bmjspcare_2018_001560 crossref_primary_10_1136_thoraxjnl_2020_216039 crossref_primary_10_1371_journal_pone_0247250 crossref_primary_10_1186_s12904_025_01785_4 crossref_primary_10_1016_j_jpainsymman_2016_02_015 crossref_primary_10_1080_09699260_2021_1975397 crossref_primary_10_1186_s12904_021_00862_8 crossref_primary_10_1016_j_jpainsymman_2021_11_008 crossref_primary_10_12968_ijpn_2019_25_11_531 crossref_primary_10_1542_peds_2021_055980 crossref_primary_10_1186_s12904_021_00825_z crossref_primary_10_1177_02692163221113163 crossref_primary_10_1016_j_jpainsymman_2020_10_031 crossref_primary_10_1177_14713012251376769 crossref_primary_10_1177_23743735221074171 crossref_primary_10_12968_ijpn_2024_0003 crossref_primary_10_1177_1049909120912674 crossref_primary_10_56392_001c_94808 crossref_primary_10_1186_s12913_019_3961_0 crossref_primary_10_1186_s12904_018_0380_7 crossref_primary_10_12968_ijpn_2019_25_12_588 crossref_primary_10_2196_47366 crossref_primary_10_1016_j_jpainsymman_2016_10_361 crossref_primary_10_3390_ijerph19137747 crossref_primary_10_1186_s12904_020_00685_z crossref_primary_10_1177_0269216320986730 crossref_primary_10_1016_j_pec_2025_108813 crossref_primary_10_1016_j_ijnurstu_2020_103655 crossref_primary_10_1016_j_jpainsymman_2016_06_001 crossref_primary_10_1111_ajag_13013 crossref_primary_10_1186_s12904_025_01842_y crossref_primary_10_1177_0269216319854154 crossref_primary_10_1089_pmr_2024_0092 crossref_primary_10_1371_journal_pone_0215403 crossref_primary_10_1542_peds_2022_061050 crossref_primary_10_1016_j_jpainsymman_2018_04_006 crossref_primary_10_1007_s00520_023_08118_2 crossref_primary_10_1136_bmjopen_2021_051904 crossref_primary_10_1136_spcare_2023_004280 crossref_primary_10_1136_spcare_2024_005017 crossref_primary_10_1186_s12904_025_01833_z crossref_primary_10_1007_s11136_023_03425_x crossref_primary_10_1177_26323524231182724 crossref_primary_10_1177_0269216319900137 crossref_primary_10_12968_ijpn_2018_24_10_492 crossref_primary_10_1016_j_jpainsymman_2025_07_007 crossref_primary_10_1080_09699260_2024_2309788 crossref_primary_10_1177_0269216315613904 crossref_primary_10_1007_s00520_025_09402_z crossref_primary_10_1007_s00520_024_08832_5 crossref_primary_10_1186_s12904_024_01563_8 crossref_primary_10_1177_0269216319839024 crossref_primary_10_1186_s12904_024_01545_w crossref_primary_10_1111_jgs_16458 crossref_primary_10_1186_s12904_024_01637_7 crossref_primary_10_1089_jpm_2016_0219 crossref_primary_10_1111_jocn_17829 crossref_primary_10_1177_0269216318757622 crossref_primary_10_3390_ijerph17093131 crossref_primary_10_3390_ijerph19074162 crossref_primary_10_1017_S1478951524000245 crossref_primary_10_1186_s12962_018_0154_3 crossref_primary_10_1080_09699260_2024_2380093 crossref_primary_10_1089_jpm_2021_0462 crossref_primary_10_1093_jjco_hyaf076 crossref_primary_10_1016_j_jpainsymman_2023_05_015 crossref_primary_10_1186_s12904_025_01816_0 crossref_primary_10_3389_fresc_2023_1229442 crossref_primary_10_1007_s15006_022_2046_x crossref_primary_10_1016_j_jamda_2021_09_012 crossref_primary_10_1177_0269216317727157 crossref_primary_10_1016_j_bja_2025_03_008 crossref_primary_10_1093_intqhc_mzab075 crossref_primary_10_1177_0269216319854264 crossref_primary_10_1186_s12904_024_01630_0 crossref_primary_10_1007_s00520_024_08771_1 crossref_primary_10_1136_bmjopen_2020_042268 crossref_primary_10_1177_0269216314559899 crossref_primary_10_1016_j_jamda_2020_11_017 crossref_primary_10_1136_bmjspcare_2021_003139 crossref_primary_10_1177_0269216315616524 crossref_primary_10_1007_s00520_023_07912_2 crossref_primary_10_1111_hex_13903 crossref_primary_10_1002_cam4_4030 crossref_primary_10_1136_bmjopen_2023_082628 crossref_primary_10_12968_ijpn_2018_24_12_576 crossref_primary_10_3390_ijerph192013294 crossref_primary_10_1186_s12904_024_01616_y crossref_primary_10_1007_s00520_023_08025_6 |
| Cites_doi | 10.1071/AH08718 10.1191/0269216304pm875oa 10.2307/2529310 10.1071/AH970105 10.1186/1472-684X-4-7 10.1177/0269216308098797 10.1016/j.jpainsymman.2009.06.013 10.1016/j.ejca.2006.01.032 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2014 The Author(s) 2014. SAGE Publications © Jan 2015 |
| Copyright_xml | – notice: The Author(s) 2014 – notice: The Author(s) 2014. – notice: SAGE Publications © Jan 2015 |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 0-V 3V. 7QJ 7RV 7X7 7XB 88E 88G 8FI 8FJ 8FK ABUWG AFKRA ALSLI AN0 ASE AZQEC BENPR CCPQU DWQXO FPQ FYUFA GHDGH GNUQQ HEHIP K6X K9- K9. KB0 M0R M0S M1P M2M M2S NAPCQ PHGZM PHGZT PJZUB PKEHL POGQB PPXIY PQEST PQQKQ PQUKI PRINS PRQQA PSYQQ Q9U 7X8 |
| DOI | 10.1177/0269216314551814 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Social Sciences Premium Collection ProQuest Central (Corporate) Applied Social Sciences Index & Abstracts (ASSIA) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Psychology Database (Alumni) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland Social Science Premium Collection British Nursing Database British Nursing Index ProQuest Central Essentials ProQuest Central ProQuest One Community College ProQuest Central Korea British Nursing Index (BNI) (1985 to Present) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Sociology Collection British Nursing Index Consumer Health Database (Alumni Edition) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Consumer Health Database ProQuest Health & Medical Collection Medical Database Psychology Database Sociology Database (ProQuest) Nursing & Allied Health Premium Proquest Central Premium ProQuest One Academic ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest Sociology & Social Sciences Collection ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China ProQuest One Social Sciences ProQuest One Psychology New ProQuest Central Basic MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest One Psychology ProQuest Sociology & Social Sciences Collection ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Sociology & Social Sciences Collection ProQuest Family Health (Alumni Edition) Applied Social Sciences Index and Abstracts (ASSIA) ProQuest Central China ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Sociology Collection ProQuest Central (New) ProQuest Sociology ProQuest Medical Library (Alumni) Social Science Premium Collection ProQuest One Social Sciences ProQuest Central Basic ProQuest Family Health ProQuest One Academic Eastern Edition British Nursing Index with Full Text British Nursing Index ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Sociology Collection Health Research Premium Collection (Alumni) ProQuest Psychology Journals (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest Psychology Journals ProQuest Social Sciences Premium Collection ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic British Nursing Index MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1477-030X |
| EndPage | 30 |
| ExternalDocumentID | 3527792771 25249239 10_1177_0269216314551814 10.1177_0269216314551814 |
| Genre | Multicenter Study Journal Article |
| GeographicLocations | Australia |
| GeographicLocations_xml | – name: Australia |
| GroupedDBID | --- -TM .2E .2F .2G .2J .2N .XZ 0-V 01A 08G 0R~ 123 18M 1~K 29O 31R 31S 31U 31X 31Y 31Z 36B 3EH 4.4 53G 54M 5VS 7RV 7X7 88E 8FI 8FJ 8R4 8R5 AABCJ AABMB AABOD AACKU AACMV AACTG AADUE AAEWN AAGGD AAGLT AAGMC AAJIQ AAJOX AAJPV AAKGS AANSI AAPEO AAQDB AAQXH AAQXI AARDL AARIX AATAA AATBZ AAUAS AAWTL AAXOT AAYTG AAZBJ ABAFQ ABAWC ABAWP ABCCA ABCJG ABDWY ABEIX ABFWQ ABHKI ABHQH ABIDT ABIVO ABJZC ABKRH ABLUO ABPGX ABPNF ABQKF ABQXT ABRHV ABUJY ABUWG ABVFX ABYTW ACARO ACDSZ ACDXX ACFEJ ACFMA ACFYK ACGBL ACGFO ACGFS ACGZU ACJER ACJTF ACLFY ACLHI ACLZU ACOFE ACOXC ACROE ACRPL ACSIQ ACUAV ACUIR ACXKE ACXMB ADBBV ADDLC ADEBD ADEIA ADGHP ADMPF ADNBR ADNMO ADNON ADRRZ ADSTG ADTBJ ADUCT ADUKL ADVBO ADYCS ADZYD ADZZY AECGH AECVZ AEDTQ AEGXH AEKYL AENEX AEPTA AEQLS AERKM AESZF AEUHG AEWDL AEWHI AEXFG AEXNY AFEET AFKBI AFKRA AFKRG AFMOU AFQAA AFUIA AFWMB AGHKR AGKLV AGNHF AGPXR AGQPQ AGWFA AGWNL AHDMH AHHFK AHMBA AIAGR AIGRN AJABX AJEFB AJMMQ AJSCY AJUZI AJXAJ ALIPV ALKWR ALMA_UNASSIGNED_HOLDINGS ALSLI AMCVQ AN0 ANDLU ARALO ARTOV ASOEW ASPBG AUTPY AUVAJ AVWKF AYAKG AZFZN AZQEC B3H B8M B8O B8R B8Z B93 B94 BBRGL BDDNI BENPR BKEYQ BKIIM BKNYI BKSCU BNQBC BPACV BPHCQ BSEHC BVXVI BWJAD BYIEH C45 CAG CBRKF CCPQU CDWPY CFDXU COF CORYS CQQTX CS3 CUTAK DB0 DC- DC0 DD- DD0 DE- DF0 DO- DOPDO DU5 DV7 DV9 DWQXO D~Y EBS EJD EMOBN EX3 F5P FEDTE FHBDP FYUFA GNUQQ GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION GX1 H13 HEHIP HF~ HMCUK HVGLF HZ~ J5H J8X K.F K.J K9- M0R M1P M2M M2S N9A NAPCQ O9- OB2 OVD P.B P2P PCD PHGZM PHGZT PQQKQ PROAC PSQYO PSYQQ Q1R Q2X Q7K Q7L Q7R Q7U Q7X Q82 Q83 ROL S01 SASJQ SAUOL SCNPE SDB SFB SFC SFK SFN SFT SGA SGO SGP SGR SGV SGX SGZ SHG SNB SPJ SPQ SPV SQCSI STM TEORI UKHRP WOW ZGI ZONMY ZPPRI ZRKOI ZSSAH ZXP 0SE AAEJI AAPII AAYXX ABUAX AFFHD AJGYC AJHME AJVBE CITATION PJZUB POGQB PPXIY PRQQA CGR CUY CVF ECM EIF NPM 3V. 7QJ 7XB 8FK ASE FPQ K6X K9. PKEHL PQEST PQUKI PRINS Q9U 7X8 PUEGO |
| ID | FETCH-LOGICAL-c464t-53151f6a5e57adb8dba4536548eace3af9091842ed5a225e8d600cf6cb90caad3 |
| IEDL.DBID | 7X7 |
| ISICitedReferencesCount | 129 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000346427300003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0269-2163 1477-030X |
| IngestDate | Sat Sep 27 16:18:29 EDT 2025 Thu Oct 02 18:41:15 EDT 2025 Fri Oct 03 07:51:42 EDT 2025 Mon Jul 21 05:57:25 EDT 2025 Tue Nov 18 22:43:44 EST 2025 Sat Nov 29 08:12:14 EST 2025 Tue Jun 17 22:48:21 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | reproducibility of results needs assessment Episode of care patient acuity palliative care |
| Language | English |
| License | The Author(s) 2014. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c464t-53151f6a5e57adb8dba4536548eace3af9091842ed5a225e8d600cf6cb90caad3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
| PMID | 25249239 |
| PQID | 1636488181 |
| PQPubID | 33103 |
| PageCount | 9 |
| ParticipantIDs | proquest_miscellaneous_1672095654 proquest_miscellaneous_1637559692 proquest_journals_1636488181 pubmed_primary_25249239 crossref_citationtrail_10_1177_0269216314551814 crossref_primary_10_1177_0269216314551814 sage_journals_10_1177_0269216314551814 |
| PublicationCentury | 2000 |
| PublicationDate | 2015-01-01 |
| PublicationDateYYYYMMDD | 2015-01-01 |
| PublicationDate_xml | – month: 01 year: 2015 text: 2015-01-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | London, England |
| PublicationPlace_xml | – name: London, England – name: England – name: London |
| PublicationTitle | Palliative medicine |
| PublicationTitleAlternate | Palliat Med |
| PublicationYear | 2015 |
| Publisher | SAGE Publications Sage Publications Ltd |
| Publisher_xml | – name: SAGE Publications – name: Sage Publications Ltd |
| References | Eagar, Green, Gordon 2004; 18 Waller, Girgis, Currow 2008; 22 Myers, Gardiner, Harris 2010; 39 Abernethy, Shelby-James, Fazekas 2005; 4 Eagar 1995; 20 Landis, Koch 1977; 33 Eagar, Watters, Currow 2010; 34 Petersen, Larsen, Pedersen 2006; 42 Smith M (bibr2-0269216314551814) bibr8-0269216314551814 bibr14-0269216314551814 bibr11-0269216314551814 bibr6-0269216314551814 Smith M (bibr3-0269216314551814) bibr4-0269216314551814 Eagar K (bibr5-0269216314551814) 1997 Palliative Care Outcomes Collaboration (bibr9-0269216314551814) 2013 bibr13-0269216314551814 Australian Institute of Health and Welfare (bibr15-0269216314551814) 2013 Victorian Government Department of Human Services (bibr10-0269216314551814) 2006 bibr7-0269216314551814 bibr1-0269216314551814 bibr12-0269216314551814 |
| References_xml | – volume: 33 start-page: 159 year: 1977 end-page: 174 article-title: The measurement of observer agreement for categorical data publication-title: Biometrics – volume: 20 start-page: 105 year: 1995 end-page: 119 article-title: Defining an episode of care: a study of five case types publication-title: Aust Health Rev – volume: 4 start-page: 7 year: 2005 article-title: The Australia-modified Karnofsky Performance Status (AKPS) scale: a revised scale for contemporary palliative care clinical practice publication-title: BMC Palliat Care – volume: 39 start-page: 250 year: 2010 end-page: 258 article-title: Evaluating correlation and interrater reliability for four performance scales in the palliative care setting publication-title: J Pain Symptom Manage – volume: 18 start-page: 217 year: 2004 end-page: 226 article-title: An Australian casemix classification for palliative care: technical development and results publication-title: Palliat Med – volume: 22 start-page: 956 year: 2008 end-page: 964 article-title: Development of the Palliative Care Needs Assessment Tool (PC-NAT) for use by multi-disciplinary health professionals publication-title: Palliat Med – volume: 42 start-page: 1159 year: 2006 end-page: 1166 article-title: Assessing health-related quality of life in palliative care: comparing patient and physician assessments publication-title: Eur J Cancer – volume: 34 start-page: 186 year: 2010 end-page: 192 article-title: The Australian Palliative Care Outcomes Collaboration (PCOC) – measuring the quality and outcomes of palliative care on a routine basis publication-title: Aust Health Rev – ident: bibr1-0269216314551814 doi: 10.1071/AH08718 – ident: bibr6-0269216314551814 doi: 10.1191/0269216304pm875oa – ident: bibr8-0269216314551814 doi: 10.2307/2529310 – volume-title: The Australian National Sub-Acute and Non-Acute Patient Classification (AN-SNAP): report of the National Sub-Acute and Non-Acute Casemix Classification Study year: 1997 ident: bibr5-0269216314551814 – ident: bibr7-0269216314551814 doi: 10.1071/AH970105 – volume-title: Palliative care workforce: a supply and demand study year: 2006 ident: bibr10-0269216314551814 – ident: bibr11-0269216314551814 doi: 10.1186/1472-684X-4-7 – ident: bibr4-0269216314551814 – volume-title: 8th national casemix conference ident: bibr2-0269216314551814 – ident: bibr12-0269216314551814 doi: 10.1177/0269216308098797 – volume-title: National report on patient outcomes in palliative care in Australia, January–June 2013 year: 2013 ident: bibr9-0269216314551814 – ident: bibr13-0269216314551814 doi: 10.1016/j.jpainsymman.2009.06.013 – volume-title: AIHW metadata online registry year: 2013 ident: bibr15-0269216314551814 – volume-title: 6th national casemix conference ident: bibr3-0269216314551814 – ident: bibr14-0269216314551814 doi: 10.1016/j.ejca.2006.01.032 |
| SSID | ssj0013064 |
| Score | 2.4652402 |
| Snippet | Background:
The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and... The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and bereavement) was... Background: The concept of palliative care consisting of five distinct, clinically meaningful, phases (stable, unstable, deteriorating, terminal and... |
| SourceID | proquest pubmed crossref sage |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 22 |
| SubjectTerms | Adult Aged Aged, 80 and over Australia Caregivers Classification Collaboration Cross-Sectional Studies Female Funding Health services Humans Male Middle Aged Palliative care Palliative Care - standards Patients Program Evaluation Quality improvement Reproducibility of Results Variables |
| Title | Palliative Care Phase: Inter-rater reliability and acceptability in a national study |
| URI | https://journals.sagepub.com/doi/full/10.1177/0269216314551814 https://www.ncbi.nlm.nih.gov/pubmed/25249239 https://www.proquest.com/docview/1636488181 https://www.proquest.com/docview/1637559692 https://www.proquest.com/docview/1672095654 |
| Volume | 29 |
| WOSCitedRecordID | wos000346427300003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: Consumer Health Database customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: M0R dateStart: 19980101 isFulltext: true titleUrlDefault: https://search.proquest.com/familyhealth providerName: ProQuest – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: 7X7 dateStart: 19980101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: 7RV dateStart: 19980101 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: BENPR dateStart: 19980101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Psychology Database customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: M2M dateStart: 19980101 isFulltext: true titleUrlDefault: https://www.proquest.com/psychology providerName: ProQuest – providerCode: PRVPQU databaseName: Sociology Database (ProQuest) customDbUrl: eissn: 1477-030X dateEnd: 20151231 omitProxy: false ssIdentifier: ssj0013064 issn: 0269-2163 databaseCode: M2S dateStart: 19980101 isFulltext: true titleUrlDefault: https://search.proquest.com/sociology providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3dT-MwDLfuAJ14geN7wE056YR0D9G6Nm1aXhAg0D2waeIA7W1ym1QgoQ62gcR_j5222wG6vfASqanrRI1ju3b6M8CvOCU7k3r8r5NSUqWelQkqI1My55iyA28diOuF7nbjfj_pVQG3cXWsstaJTlGbYcYx8hb5DREJGxmko4dHyVWjOLtaldD4CotcNpvlXPf1LIvglfBRfpRInxjM0pQt7uMuxukmnuqtWfrga7455-VMz_nqZyf9HVYqp1Mcl1KyBl9ssQ7fOlVafQOueshRF9Z8gn9IEr1bMm6HwoULJYNJjMTIEoU7SfsisDACMz4QU_fcFQJFHVgUDrN2E67Pz65O_8iq3ILMVKQmknZj2M4jDG2o0aSxSVGFAdeVJ-VsA8wT8i1i5VsTImkBGxtylrI8ytLEyxBNsAULxbCwOyAYNC_RASoVkAioHHNtIk28fW1ijboBrfptD7IKi5xLYtwP2jX8-Lv1acDv6RMPJQ7HHNr9ejUG1Y4cD2ZL0YCf09u0lzhBgoUdPjkaTV9YxG0ejfYZvDGkYbZL4ZhOyA8ZfzFIGnDA0vLP4P-Z6e78me7BMvlnYRnx2YeFyejJ_oCl7HlyNx41SdYvb5pO4l0bN2Hx5Kzbu6Srjudav-Pav6-2NQVt |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3dT9swED8BQ4MXNhgfZWwYaZvEg9XiOHEyaZqmbQhEW_Whk3gLl9gRSCiFtoD4p_Y37i4f7Rha33jg1XEcO_757nw-_w7gQ5iQnklafNdJa6mTlpMRaisTUueYsAHvChLXtul2w9PTqDcHv-u7MBxWWcvEQlDbQco-8ibZDQGBjRTS16tryVmj-HS1TqFRwuLE3d_Rlm305fgHze9HpQ5_9r8fySqrgEx1oMeSQOcfZAH6zjdok9AmqH2P06eTDHIeZhGp0FArZ30ksLvQkk2QZkGaRK0U0XrU7jy80HxllEMFVWd6atEq6apUEElFHZ4eiza5jIuYF5zGoB-qwUe27YO4skLVHb56bj_pNaxURrX4Vq6CVZhz-Rq87FRhA2-g30P2KrFkF3zhSvTOSXl_FoU7VDJZxlAMHdUoIoXvBeZWYMoBP3XJRS5Q1I5TUXDyrsOvJxnTBizkg9xtgWBSwMh4qLVHENcZZsYGhtpWxoYGTQOa9ezGacW1zik_LuODml79Hzw0YH_yxlXJMzKj7k49-3ElcUbxdOobsDd5TLKCD4Awd4Oboo6hHSS1NquOUUxO6dNnNkswTjqkfOaX9KIGfGJ0_vXx__R0e3ZPd2HpqN9px-3j7slbWCZb1C-9WzuwMB7euHewmN6OL0bD98U6E3D21Jj9A_AZXeU |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Palliative+Care+Phase%3A+inter-rater+reliability+and+acceptability+in+a+national+study&rft.jtitle=Palliative+medicine&rft.au=Masso%2C+Malcolm&rft.au=Allingham%2C+Samuel+Frederic&rft.au=Banfield%2C+Maree&rft.au=Johnson%2C+Claire+Elizabeth&rft.date=2015-01-01&rft.eissn=1477-030X&rft.volume=29&rft.issue=1&rft.spage=22&rft_id=info:doi/10.1177%2F0269216314551814&rft_id=info%3Apmid%2F25249239&rft.externalDocID=25249239 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0269-2163&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0269-2163&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0269-2163&client=summon |