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We were really interested in the gap that exists after patients leave the ED or an observation status and go home, so what we did is we randomized patients, it was patient-level randomization, to either nurse-led telephonic care for six months, or specialty outpatient palliativecare for six months. Was this the same?
Liz: Yeah, palliativecare teams is exactly one of those institutional factors. Well, it’s not an institutional factor, but institutions can either support having more palliativecare teams, better palliativecareresources, being palliativecare friendly or being less so.
Obviously, I don’t think that symptom monitoring is the same as you wonderful people coming in and taking care of patients and their families. But I think thinking about combined models of care, like can we use palliativecareresources if we’re monitoring patient symptoms?
So quality of life was, if we want to talk about just the as good as the more intensive model, but we used significantly fewer palliativecareresources. So basically, to achieve the same quality of life benefit as the intensive arm patients saw palliativecare, significantly fewer. Eric 31:38 Half is less, right?
And yet in my other rotations and experiences, it was so clear that we were resourcing people with palliativecareresources very well. You didn’t have to walk many blocks down the street to a hospital or another facility where people were getting world class care. CME This episode is not CME eligible.
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