[Assessment of IDC-Pal as a Diagnostic Tool for Family Physicians to Identify Patients with Complex Palliative Care Needs in Germany: a Pilot Study].

Autor:	Comino MRS; Geriatrics and Family Medicine, Emory University, Atlanta, United States., Garcia VR; Hospital Universitario Virgen del Rocio, Universitätsklinikum, Sevilla, Spain., López MAF; Hospital Universitario Virgen del Rocio, Universitätsklinikum, Sevilla, Spain., Feddersen B; Klinik und Poliklinik für Palliativmedizin, Klinikum der Universität München, Deutschland., Roselló MLM; Fundacion Cudeca, Krebszentrum Malaga, Spain., Sanftenberg L; Institut für Allgemeinmedizin, Klinikum der Universität München, Deutschland., Schelling J; Institut für Allgemeinmedizin, Klinikum der Universität München, Deutschland.
Jazyk:	němčina
Zdroj:	Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [Gesundheitswesen] 2018 Oct; Vol. 80 (10), pp. 871-877. Date of Electronic Publication: 2017 Jul 11.
DOI:	10.1055/s-0043-104215
Abstrakt:	Background: Palliative medicine is an essential component of the health care system. Basic palliative care should be provided by primary care services (family physician and home nursing) with palliative-medical basic qualification. Often it is very difficult to identify patients that would profit from a specialized palliative care team. For the evaluation of the case complexity of a palliative patient, we present a Spanish diagnostic tool IDC-Pal, which tries to specify when, why and where a palliative patient should be referred. The aims of this study were the translation and cultural adaptation of the diagnostic tool for complexity in palliative care IDC-Pal to the German language, and the measurement of its feasibility and face validity. Methods: During the first phase, a forward-backward translation with linguistic and cultural adaptation of the tool IDC-Pal as well as the validation of its content by a review committee was performed. During the second phase, the preliminary version of the tool was tested by 38 family physicians that were asked for a qualitative assessment using a 10-points Likert scale (1 = "strongly disagree" and 10 = "totally agree"). Finally, a definitive version was developed. Results: The translation and adaptation were achieved without major problems. Both feasibility and apparent validity of the tool IDC-Pal were rated as high. The mean response in the Likert scale was 7.79, with a SD of 0.36. Participants strongly agreed on the apparent validity of the tool with a mean of 7.82 and a SD of 0.26 and on its feasibility with a mean of 7.79, and a SD of 0.39. Conclusions: A conceptually, culturally and linguistically equivalent version of the original instrument IDC-Pal was obtained. German family physicians agreed on the usability of IDC-Pal as a tool for rating the case complexity of palliative patients. These results indicate that physicians in Bavaria and eventually in Germany could benefit of the full validation of IDC-Pal. Competing Interests: Die Autoren geben an, dass kein Interessenkonflikt besteht. (© Georg Thieme Verlag KG Stuttgart · New York.)
Databáze:	MEDLINE
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