Xavier Gómez-Batiste

Universitat de Vic - Universitat Central de Catalunya

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Jordi Amblàs-Novellas

Government of Catalonia

José Espinosa

University of the Coast

Marisa Martínez-Muñoz

Institut Català d'Oncologia

Cristina Lasmarías

Institut Català d'Oncologia

Carles Blay

Universitat de Vic - Universitat Central de Catalunya

Josep Porta-Sales

Universitat Internacional de Catalunya

Xavier Costa

Hospital de Figueres

Jesús González‐Barboteo

Institut Català d'Oncologia

Jan Stjernswärd

Institut Català d'Oncologia

Joan Espaulella

Hospital Universitari de Vic

Cooperative Institutions

Memorial Sloan Kettering Cancer Center

Institut Català d'Oncologia

Universitat de Vic - Universitat Central de Catalunya

Cleveland Clinic

University of Sydney

New York University Press

Universitat de Barcelona

Universitat Autònoma de Barcelona

Cambridge University Press

Monash University

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Evaluación cualitativa del desarrollo del Proyecto Demostrativo OMS de Cuidados Paliativos de Cataluña a los 15 años de su implantación y propuestas de mejora del programa

Medicina Paliativa (2008)

Xavier Gómez-Batiste M. Nabal Vicuña J. Trelis Navarro José-Antonio Casas J. Porta Sales

Source

Cite

Citations (4)

Design, implementation, and evaluation of palliative care programmes and services with a public health WHO perspective

Oxford University Press eBooks (2012)

Xavier Gómez-Batiste José Espinosa M. Pau González-Olmedo Marisa Martínez-Muñoz Cristina Lasmarías

From the 1990s onwards the World Health Organization (WHO) has been proposing palliative care as a key element of health care systems, to be inserted into mainstream planning and organization. Accordingly, WHO Public Health Palliative Care Programmes have been implemented. These programmes are defined as the systematic application of several measures to improve the care of advanced and terminal patients and their families at a population level either at the sector, regional, or national level. This chapter describes the principles, aims, and elements of WHO Public Health Programmes.

Mainstream

Population Health

10.1093/acprof:oso/9780199599400.003.0081

Cite

Citations (1)

Development of Palliative Care: Past, Present, and Future

Springer eBooks (2018)

Xavier Gómez-Batiste Jordi Amblàs-Novellas Xavier Costa Cristina Lasmarías Sebastià Santaeugènia

Foundation (evidence)

10.1007/978-3-319-31738-0_2-1

Cite

Citations (1)

The Model of Advanced Care Planning in Catalonia (Spain)

International Journal of Integrated Care (2016)

Cristina Lasmarías Sara Delgado Laura Vila Sonia Tirado González Pilar Loncán

Background: Care models for advanced chronic patients present two key aspects: early identification and advanced care planning (ACP). In 2014, Catalonia arranged the ACP Model (ACPM), addressed to chronic patient’s complex needs, into a public health-social system (HSS).Aims: Describe the implementation process (IP) of an ACPM.Methods: A core group of professionals (n=55) was convened to develop the ACPM with the co-participation of patients, caregivers, social agents and healthy persons. Inclusion criteria included: solid professional trajectory, equal representation as for territory and professional profile.Four work levels were defined: conceptual document (CD) and implementation guide (IG) elaboration; training program (ITP) development; building-up of patients, professionals and healthy persons discussion groups (DG).The CD and IG were written with the agreement of expert professionals in legislation, ethics, medical specialities, nursing, anthropology, social work and psychology. The ITP is being created, as a key aspect of the IP.Results: CD and IG have been published. Simultaneously, DGs are established so as to make the CD a work product of high quality. The ITP is currently being developed, based on CD and IG contents. These documents have been reviewed by around 100 professionals from the Catalan HSS.The ITP contents focus on communication skills; legal and ethical aspects; patient and family needs.Discussion: ACP is a challenge for the model of care towards advanced chronic patients.Conclusions: ACP is a challenge for the model of care towards advanced chronic patients. The Catalan Model of ACP establishes the conceptual and pragmatic foundations of ACP and develops the training of the professionals daily taking care of such type of patients.

Advance Care Planning

10.5334/ijic.2867

Cite

Citations (1)

Cross-cultural adaptation and semantic validation of an instrument to identify palliative requirements in Portuguese

Einstein (São Paulo) (2020)

Marcella Tardeli Esteves Angioleti Santana Xavier Gómez-Batiste Lúcia Marta Giunta da Silva Maria Gaby Rivero de Gutiérrez

To translate and make cross-cultural adaptation of NECPAL CCOMS-ICO© tool to Portuguese, and to analyze its semantic validity.A methodological research about NECPAL CCOMS-ICO© tool cross-cultural adaptation, translated from Spanish into Portuguese and measurement of semantic validity. The cross-cultural adaptation process was conducted according to Beaton recommendations, including translation, translation synthesis, back-translation, and analysis of semantic, idiomatic, conceptual, and cultural equivalence of translated and back-translated tool versions, resulting in a pre-final version, which was submitted to a pre-test (n=35). Contend Validity Index was calculated to analyze semantic validity.Cross-cultural adaptation process allowed us to prepare the final version of this tool, which was named NECPAL-BR. Collected data from pre-testing step enabled the analysis of semantic validity. The Content Validity Index observed at this step was 0.94.The semantic validity of the tool in its Portuguese version was confirmed; therefore, it may assist in screening chronic progressive disease patients, aiming to provide early palliative care. It may also be used to develop clinical and team performance indicators, and be employed as a care management tool designed to optimize resources.

10.31744/einstein_journal/2020ao5539

Cite

Citations (14)

Prevalence and characteristics of patients with advanced chronic conditions in need of palliative care in the general population: A cross-sectional study

Palliative Medicine (2014)

Xavier Gómez-Batiste Marisa Martínez-Muñoz Carles Blay Jordi Amblàs-Novellas Laura Vila

Background: Of deaths in high-income countries, 75% are caused by progressive advanced chronic conditions. Palliative care needs to be extended from terminal cancer to these patients. However, direct measurement of the prevalence of people in need of palliative care in the population has not been attempted. Aim: Determine, by direct measurement, the prevalence of people in need of palliative care among advanced chronically ill patients in a whole geographic population. Design: Cross-sectional, population-based study. Main outcome measure: prevalence of advanced chronically ill patients in need of palliative care according to the NECPAL CCOMS-ICO © tool. NECPAL+ patients were considered as in need of palliative care. Setting/participants: County of Osona, Catalonia, Spain (156,807 inhabitants, 21.4% > 65 years). Three randomly selected primary care centres (51,595 inhabitants, 32.9% of County’s population) and one district general hospital, one social-health centre and four nursing homes serving the patients. Subjects were all patients attending participating settings between November 2010 and October 2011. Results: A total of 785 patients (1.5% of study population) were NECPAL+: mean age = 81.4 years; 61.4% female. Main disease/condition: 31.3% advanced frailty, 23.4% dementia, 12.9% cancer (ratio of cancer/non-cancer = 1/7), 66.8% living at home and 19.7% in nursing home; only 15.5% previously identified as requiring palliative care; general clinical indicators of severity and progression present in 94% of cases. Conclusions: Direct measurement of prevalence of palliative care needs on a population basis is feasible. Early identification and prevalence determination of these patients is likely to be the cornerstone of palliative care public health policies.

Cross-sectional study

10.1177/0269216313518266

Cite

Citations (239)

Frailty, severity, progression and shared decision-making: A pragmatic framework for the challenge of clinical complexity at the end of life

European Geriatric Medicine (2015)

Jordi Amblàs-Novellas Joan Espaulella Lourdes Rexach Benito J. Fontecha Gómez Marco Inzitari

Situational ethics

Population Ageing

Decision-making

10.1016/j.eurger.2015.01.002

Cite

Citations (46)

Equipos de soporte domiciliario de cuidados paliativos en España

Medicina Clínica (2010)

José Espinosa Xavier Gómez-Batiste Josep M. Picaza Esther Limón Ramírez

10.1016/j.medcli.2010.06.004

Cite

Citations (23)

Assessment of the Perception of Symptoms and Anxiety in Terminally Ill Patients in Spain

Journal of Palliative Care (1996)

Pilar Barreto Ramón Bayés Manuel D. Comas Elvira Martínez Antonio Pascual

Terminally ill

10.1177/082585979601200209

Cite

Citations (19)

Exploring Early, Middle, and Late Loss in Basic Activities of Daily Living among Nursing Home Residents: A Multicenter Observational Study

Healthcare (2024)

Pau Moreno‐Martin Eduard Minobes‐Molina Aina Carbó-Cardeña Montse Masó-Aguado Montserrat Solé-Casals

Nursing home (NH) residents commonly face limitations in basic activities of daily living (BADLs), following a hierarchical decline. Understanding this hierarchy is crucial for personalized care. This study explores factors associated with early, middle, and late loss in BADLs among NH residents. A multicenter cross-sectional study was conducted in 30 NHs in Catalonia, Spain. Dependent variables were related to limitations in BADLs: early loss (self-care-related BADLs: personal hygiene, dressing, or bathing), middle loss (mobility-related BADLs: walking or wheelchair handling, toileting, and transferring), and late loss (eating). Independent variables were based on a comprehensive geriatric assessment and institutional factors. Logistic regression was used for the multivariate analyses. The study included 671 older adults. Early loss in BADLs was significantly associated with urinary incontinence, cognitive impairment, and falls. Middle loss in BADLs was linked to fecal incontinence, urinary incontinence, ulcers, and cognitive impairment. Late loss in BADLs was associated with fecal incontinence, the NH not owning a kitchen, neurological disease, cognitive impairment, dysphagia, polypharmacy, and weight loss. These findings highlight the need to address geriatric syndromes, especially cognitive impairment and bladder/bowel incontinence. Monitoring these syndromes could effectively anticipate care dependency. The presence of kitchens in NHs may help to address limitations to eating, allowing for potential personalized meal adaptation.

Toileting

Bathing

10.3390/healthcare12080810

Cite

Citations (0)