Where to enhance rural palliative care? Developing a spatial model to identify suitable communities most in need of service enhancement

BMC Health Services Research
Nadine SchuurmanEllen Randall

Abstract

In Canada, access to palliative care is a growing concern, particularly in rural communities. These communities have constrained health care services and accessing local palliative care can be challenging. The Site Suitability Model (SSM) was developed to identify rural "candidate" communities with need for palliative care services and existing health service capacity that could be enhanced to support a secondary palliative care hub. The purpose of this study was to test the feasibility of implementing the SSM in Ontario by generating a ranked summary of rural "candidate" communities as potential secondary palliative care hubs. Using Census data combined with community-level data, the SSM was applied to assess the suitability of 12 communities as rural secondary palliative care hubs. Scores from 0 to 1 were generated for four equally-weighted components: (1) population as the total population living within a 1-h drive of a candidate community; (2) isolation as travel time from that community to the nearest community with palliative care services; (3) vulnerability as community need based on a palliative care index score; and (4) community readiness as five dimensions of fit between a candidate community and a secondary palliati...Continue Reading

References

Apr 6, 2005·Seminars in Oncology Nursing·Kim K KueblerJamie Von Rohen
Oct 5, 2006·International Journal of Health Geographics·Nadine SchuurmanDarrin Grund
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Jan 12, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Roger Collier
Jul 18, 2015·BMC Health Services Research·Nadine SchuurmanAllison Williams

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