{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T23:30:36Z","timestamp":1774999836001,"version":"3.50.1"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101405_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe and assess the overall results of the La Caixa Foundation and the ICO\/UVIC Chair of Palliative Care (Former WHO Collaborating Centre) Program \u201cComprehensive Care of People with Advanced Chronic Conditions\u201d at 15 years (2008\u20132023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101405_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used qualitative and quantitative methods, such as prospective, quasi-experimental, and pre-post test designs, to evaluate the effectiveness of the interventions led by psychosocial teams providing support to existing healthcare services. Data were collected from the Program\u2019s unique shared online information system, retrieving output and outcomes information, including data obtained from validated psychosocial evaluation instruments and semi-structured interviews with patients, relatives, professionals and other stakeholders, focusing on effectiveness, satisfaction, and perceived quality of different aspects of the Program, as well as outputs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101405_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2008 to 2022, the Program implemented 65 teams in Spain and 11 in Portugal across all the provinces, with 379 full-time professionals. They saw 286,644 patients and 371,023 relatives, with a median intervention duration of 2.3\u00a0weeks. Patients\u2019 mean (SD) age was 73.2 (14.9) years; 52.3% were women, and most had a cancer diagnosis (60.1%). After 3 consecutive interventions, patients showed significantly improved psychosocial parameters, according to the Assessment of PSS Needs (ENP-E) and Existential Loneliness Detection Scale (EDSOL). Patients, relatives, and stakeholders were highly satisfied. The Program has developed a Master\u2019s degree that has trained over 250 professionals and conducted 371 courses\/workshops and 302 lectures. The Program developed tools, manuals, and protocols that were published, available, and common to all professionals involved. It also developed innovative approaches responding to special settings and needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101405_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>A care program within a collaborative framework between public health services and non-profit foundations is an effective, efficient, and feasible model for organizing the psychosocial and spiritual dimension of care for patients with advanced chronic conditions and their relatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101405","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T09:12:04Z","timestamp":1769591524000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Comprehensive psychosocial and spiritual care of people with advanced chronic conditions: The experience of La Caixa foundation program at 15 years"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4946-5947","authenticated-orcid":false,"given":"Xavier","family":"Gomez-Batiste","sequence":"first","affiliation":[{"name":"Scientific Director, Program for the Comprehensive care of people with advanced chronic conditions, La Caixa Foundation"},{"name":"University of Vic\/Central Catalonia, Vic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Montoliu","sequence":"additional","affiliation":[{"name":"Institut Catal\u00e0 d\u2019Oncologia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montserrat","family":"Codinachs","sequence":"additional","affiliation":[{"name":"Universitat de Vic\/Central Catalonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristian","family":"Teb\u00e9","sequence":"additional","affiliation":[{"name":"Germans Trias i Pujol Research Institute and Hospital (IGTP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Mat\u00e9-Mendez","sequence":"additional","affiliation":[{"name":"Institut Catal\u00e0 d\u2019Oncologia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"S1478951525101405_ref27","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002608"},{"key":"S1478951525101405_ref30","first-page":"507","article-title":"Elaboraci\u00f3n y propuesta de un instrumento para la detecci\u00f3n de malestar emocional en enfermos al final de la vida","volume":"6","author":"Mat\u00e9","year":"2009","journal-title":"Psicooncolog\u00eda"},{"key":"S1478951525101405_ref31","doi-asserted-by":"publisher","DOI":"10.1177\/082585971302900406"},{"key":"S1478951525101405_ref33","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0355"},{"key":"S1478951525101405_ref34","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951518000652"},{"key":"S1478951525101405_ref36","unstructured":"National Institute for Health and Care Excellence (2022) NICE real-world evidence framework (ECD9) . 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e42"}}