2026-04-18T04:14:38Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/135972025-10-24T08:27:57Zcom_2072_451660com_2072_378040com_2072_378070col_2072_451662col_2072_378092

00925njm 22002777a 4500 dc Crespo, Iris author Goni-Fuste, Blanca author Monforte-Royo, Cristina author García-Salanova, Aina author Rodríguez Prat, Andrea author Alvaro-Pardo, Margarita author Bavestrello, Pierluigi author Bottaro, David author Casas, Elisabet author Cruz Sequeiros, Claudia author Garrillo, Jennifer author GONZÁLEZ-BARBOTEO, JESUS author Nabal-Vicuña, Maria author Nitola-Mendoza, Lina author Rodríguez, Dulce author Sala, Carme author Torremorell Balague, DOLORS author Julià-Torras, Joaquim author Alonso-Babarro, Alberto author Serna Mont-Ros, Judith author 2025-09-03T11:10:05Z 2025-09-03T11:10:05Z 2025-07-31 Palliative care; Needs assessment; Mixed-methods study Cures pal·liatives; Avaluació de necessitats; Estudi de mètodes mixtos Cuidados paliativos; Evaluación de necesidades; Estudio de métodos mixtos A recent systematic review highlighted the lack of consensus on the needs that should be assessed in palliative care to develop the initial therapeutic plan. An agreed clinical interview guide for Multidimensional needs Assessment in Palliative Care (MAP) has recently been proposed. To evaluate the feasibility of implementing the MAP guide in clinical practice. A multicenter explanatory sequential mixed-methods feasibility study was conducted, assessing five indicators: a) acceptability to patients and family members (assessed by phone); b) participation (proportion of eligible patients assessed); c) applicability (time to administer); d) clinical utility as perceived by physicians; and e) implementation in practice. Twenty-four palliative care physicians across 10 services (outpatient, in-patient, domiciliary care) administered the MAP guide in 239 initial assessments of patients with advanced cancer. A focus group was conducted with 17 of the physicians to gather insights. Indicators of acceptability, participation, applicability, and perceived clinical utility were fulfilled in over 90% of interviews. Implementation fell just short of the criterion (78% of needs assessed vs. 80% threshold). Patients and families provided highly positive feedback on the appropriateness of the MAP guide. Physicians found it flexible and easy to integrate into clinical practice, helping them structure the initial assessment and offer a much more comprehensive assessment of patients' needs. The study supports the feasibility of using the MAP guide to explore palliative care needs. The MAP guide can help ensure that professionals do not overlook unmet needs, which could increase suffering and undermine quality of life. Instituto de Salud Carlos III, Fondo Europeo de Desarrollo Regional (FEDER) grant number PI19/01901. The funders had no involvement in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. http://hdl.handle.net/11351/13597 Càncer - Tractament pal·liatiu Assistència sanitària - Avaluació Estudis de viabilitat HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Palliative Care HEALTH CARE::Health Services Administration::Quality of Health Care::Quality Assurance, Health Care::Guidelines as Topic::Practice Guidelines as Topic HEALTH CARE::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Needs Assessment ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Feasibility Studies ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::asistencia al paciente::cuidados paliativos ATENCIÓN DE SALUD::administración de los servicios de salud::calidad de la atención sanitaria::garantía de calidad de la atención sanitaria::directrices como asunto::guías de práctica clínica como asunto ATENCIÓN DE SALUD::calidad, acceso y evaluación de la atención sanitaria::prestación sanitaria::evaluación de necesidades TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios de viabilidad Implementation of a clinical interview guide to Multidimensional needs assessment in Palliative care (MAP): A multicenter mixed-methods feasibility study