Holistic palliative care needs assessment in older patients with complex chronic conditions and their families: challenges and opportunities for improved quality of care

• Autores: Laura Llop Medina
• Directores de la Tesis: Jorge Garcés Ferrer (dir. tes.), Francisco José Ródenas Rigla (codir. tes.), Ascensión Doñate Martínez (codir. tes.)
• Lectura: En la Universitat de València ( España ) en 2024
• Idioma: español
• Número de páginas: 233
• Tribunal Calificador de la Tesis: Vicente Traver Salcedo (presid.), Juan Jesús Viscarret Garro (secret.), María Elisa García González (voc.)
• Programa de doctorado: Programa de Doctorado en Diseño, Gestión y Evaluación de Políticas Públicas de Bienestar Social por la Universidad Jaume I de Castellón y la Universitat de València (Estudi General)
• Materias:
  • Ciencia política
    • Ciencias políticas
      • Política social
  • Sociología
    • Problemas sociales
      • Bienestar social
• Enlaces
  • Tesis en acceso abierto en: webges.uv.es (pdf)
• Resumen

  • The present thesis is a comprehensive investigation making a holistic assessment of the palliative care needs of complex chronic elderly patients and their families, identifying the challenges and opportunities for improving the quality of care. The thesis compiles four articles that analyse the provision of palliative care in complex chronic elderly patients with non-cancer pathologies in Spain with a focus on two Autonomous Communities, the Valencian Community and the Autonomous Community of Murcia. The body of the thesis is structured in several sections that present the theoretical and methodological background related to the chosen topic and the different studies that make up the doctoral thesis. Firstly, the theoretical framework is presented, which consists of 3 sections: 1) socio-demographic context, 2) palliative care and its role in the care of complex chronic elderly patients and 3) context of the thesis. Care for complex chronic elderly patients and their carers/family members, in which the theoretical approaches to the topic of study are examined. This is followed by the objectives and hypotheses that have guided the study. This is followed by the methodology section which summarises the methodological approach used in the doctoral thesis. In each of the four papers that make up the thesis, the methodology used is detailed. The techniques used were the review of the scientific literature, the discussion groups and the in-depth interviews. Finally, the discussion and conclusions are presented, integrating the findings of the four articles, reflecting on the theoretical and practical implications of the research and offering policy recommendations derived from the research carried out during the development of the doctoral thesis.