{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:12:04Z","timestamp":1777918324411,"version":"3.51.4"},"reference-count":65,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000654","name":"Marie Curie","doi-asserted-by":"publisher","award":["MCSON-20-102"],"award-info":[{"award-number":["MCSON-20-102"]}],"id":[{"id":"10.13039\/501100000654","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Telephone advice lines have been recommended internationally to support around-the-clock care for people living at home with advanced illness. While they undoubtedly support care, there is little evidence about what elements are needed for success. A national picture is needed to understand, improve and standardise service delivery\/care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore telephone advice lines for people living at home with advanced illness across the four UK nations, and to construct a practical framework to improve services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-national evaluation of telephone advice lines using structured qualitative interviews. A patient and public involvement workshop was conducted to refine the framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Professionals with responsibilities for how palliative care services are delivered and\/or funded at a local or regional level, were purposively sampled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy-one interviews were conducted, covering 60 geographical areas. Five themes were identified. Availability: Ten advice line models were described. Variation led to confusion about who to call and when. Accessibility, awareness and promotion: It was assumed that patients\/carers know who to call out-of-hours, but often they did not. Practicalities: Call handlers skills\/expertise varied, which influenced how calls were managed. Possible responses ranged from signposting to organising home visits. Integration\/continuity of care: Integration between care providers was limited by electronic medical records access\/information sharing. Service structure\/commissioning: Sustained funding was often an issue for charitably funded organisations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our novel evidence-based practical framework could be transformative for service design\/delivery, as it presents key considerations relating to the various elements of advice lines that may impact on the patient\/carer experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163241242329","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T23:01:51Z","timestamp":1712790111000},"page":"555-571","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Telephone advice lines for adults with advanced illness and their family carers: a qualitative analysis and novel practical 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