Palliative care-the new essentials

Annals of Palliative Medicine
Julian AbelAliki Karapliagou

Abstract

If global palliative care is to successfully address challenges of unequal access, continuity of care, and health services reductionism, new practice models to address these issues need to be identified, debated and tested. This paper offers one such practice model based on a public health approach to palliative care that has so far shown promising evidence of effectiveness. We describe how four essential elements within a public health model can work together to address quality and continuity of care as well as addressing the numerous barriers of access. These elements are: (I) specialist, and (II) generalist palliative care services working with (III) communities and neighbourhoods, working in their turn with their (IV) key civic institutions. The positive and negative impact and advantages of each of these elements is described and discussed. A solely clinical model of palliative care is inadequate to addressing the multiple co-morbidities and access issues characteristic of modern palliative care. A public health approach based on a close partnership between clinical services and communities/civic institutions is the optimal practice model.

Citations

Sep 22, 2018·Current Opinion in Supportive and Palliative Care·Santiago Rodríguez Corrêa, Julian Abel
Oct 10, 2018·Current Opinion in Supportive and Palliative Care·Gonzalo Brito-Pons, Silvia Librada-Flores
Mar 21, 2019·International Journal of Palliative Nursing·Jason Mills, John P Rosenberg
Mar 1, 2019·Palliative Care·Sandy Whitelaw, David Clark
Mar 20, 2020·Death Studies·Lauren J BreenMary Ellen Macdonald
Oct 10, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Julian AbelAllan Kellehear
Dec 7, 2018·British Journal of Community Nursing·Brian Nyatanga
Dec 5, 2019·The American Journal of Hospice & Palliative Care·Giovanna Sirianni
Sep 16, 2020·Primary Health Care Research & Development·Chariklia TzirakiMaddalena Illario
Sep 3, 2020·International Journal of Environmental Research and Public Health·Silvia Librada-FloresMaría Dolores Guerra-Martín
Jun 21, 2020·BMJ Supportive & Palliative Care·Karen A Cook, Kim Bergeron
Aug 8, 2021·International Journal of Environmental Research and Public Health·Paolo RossiGianlorenzo Scaccabarozzi
Oct 12, 2021·The Lancet. Public Health·Jason MillsManjula Patel
Jan 2, 2022·BMJ Supportive & Palliative Care·Martins Fideles Dos Santos NetoBianca Sakamoto Ribeiro Paiva

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