SciELO - Scientific Electronic Library Online

vol.12Acreditación de Comités de Ética de Investigación de la provincia de MendozaAdverse event identification and analysis on pregnant women treated in a level IIIB hospital índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista Argentina de Salud Pública

versión impresa ISSN 1852-8724versión On-line ISSN 1853-810X


TRIPODORO, Vilma Adriana et al. Demonstrative model for early identification and continuous care of cancer patients with palliative needs. Rev. argent. salud pública [online]. 2020, vol.12, pp.9-9.  Epub 27-Ago-2020. ISSN 1852-8724.


Palliative care (PC) was incorporated into the public health of many countries with great variability and inequity. Argentina has a medium-high incidence of cancer and the National Palliative Care Program does not identify the target population. The NECPAL CCOMS-ICO© tool identifies patients with palliative needs. It combines a reflexive question (Would you be surprised if your patient died in the next year?) with specific indicators. The objective of this study was the early identification and improvement of comprehensive care for patients with cancer and palliative needs. The implementation of a health care intervention is reported (Palliative Care Model Program).


All cancer patients from the hospital (July 2014-2016) were included. Their 10 physicians were interviewed in 69 individual sessions with NECPAL. A 4-stage demonstration program was designed.


There were 317 patients, 57% with palliative needs (NECPAL+). As a result of the implementation, 94% (n=172) of the 183 NECPAL+ patients were referred to PC (versus 28% before the program); there was a mean follow-up time of 7.4 months and 183 people died (28 at home). The quality standards of structure, process and outcome were exceeded.


For the first time in Argentina, this health care intervention allowed almost all cancer patients with early palliative needs to be included in a program of continuous care until death in hospital or at home.

Palabras clave : Palliative care; Cancer; Program.

        · resumen en Español     · texto en Español     · Español ( pdf )