Good (palliative) care at the desired location

In home care for patients in the palliative phase, general practitioners and nurses work together, but not enough with dietician, physiotherapist, occupational therapist and a spiritual carer. Patients and carers experience bottlenecks in communication, expertise, continuity and coordination. Due to the lack of structured cooperation between GPs, nurses, dietician, physiotherapist, occupational therapist and spiritual caregiver, important information about the patient is lost, care is not sufficiently tailored to patients’ speciic wishes and needs, and care does not take place at the patient’s preferred location. This is partly due to the lack of a central carer with coordinating tasks who is the main point of contact for patients, relatives and involved carers. A GP group and a health centre in Twente need better multidisciplinary cooperation. They have recently realised structural cooperation in two palliative home care (PaTz) groups in their working area. In recent months, expectations regarding the set-up of these PaTz groups and expectations about the added value of multidisciplinary cooperation have been inventoried. The next step is to explore the use of the central caregiver in the PaTz groups. This project fits into the themes of Saxion’s Smart Health lectorate: prevention and person-centred care. The lectorate has partnerships with healthcare organisations in the Twente region. So if you, together with professionals in the region and researchers from Saxion, want to improve care geared to the personal wishes and needs of patients in the palliative phase, this is your chance!

This project contributes to the following Sustainable Development Goals (SDGs):