Routinization and medicalization of palliative care: losses, gains and challenges

Palliative & Supportive Care
Ciro Augusto Floriani, Fermin Rolland Schramm

Abstract

This article investigates some of the criticisms that have been directed at the hospice movement in the process of interaction with the traditional Western healthcare system, such as those relative to its routinization and medicalization. It also aims to review some of the consequences of this process of institutionalisation for the field of end-of-life care: surveillance and control over the process of dying, at the expense of decisions preferably based on the patient and that patient's ability to decide how to die, with the loss of wider objectives originally established by the movement, such as unconditional reception for the patient. Based on these criticisms, some considerations are made regarding the moral implications and risks related to this specific mode of action, the hospice way of care.

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Citations

Mar 1, 2013·Journal of Palliative Medicine·A D Sandy Macleod
Aug 14, 2015·Palliative Medicine·Jelle van GurpJeroen Hasselaar
Aug 2, 2017·International Journal of Palliative Nursing·Jackie RobinsonChristine Ingleton
Jan 7, 2018·BMJ Supportive & Palliative Care·Catherine Guilbeau
Sep 8, 2019·Medicine, Health Care, and Philosophy·Nina Streeck
Sep 10, 2019·Social Science & Medicine·Marian Krawczyk

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