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Community hospitals: an under-recognized resource for palliative care

journal contribution
posted on 2023-06-07, 14:49 authored by Sheila Payne, Chris Kerr, Sheila Hawker, David Seamark, Carol Davis, Helen Roberts, Nicola Jarrett, Paul Roderick, Helen Smith
In the UK there are concerns that, in certain groups of dying patients such as the old, those with non-cancer diagnoses and those in rural areas, the quality of care is unacceptably variable. There has been no systematic survey of the extent to which community hospitals provide general palliative care for such patients. Therefore, by means of a structured questionnaire we asked senior nurses/managers at all 478 community hospitals in the UK for information on staff expertise, facilities and specialist equipment, liaison arrangements with specialist palliative care providers, priorities, practice and policy in end-of-life care. Of the 346 hospitals (72%) that responded, only 28 were in urban areas. 73% of hospitals employed at least one nurse with additional training in palliative care, 72% had access to 24-hour specialist palliative care advice and 51% had separate overnight accommodation for relatives, but only 22% had designated palliative care beds. Most hospitals did not have written policies or guidelines for patient assessment or symptom control. These findings add to evidence that community hospitals represent an important resource to improve access to palliative care for groups that are currently under-served.

History

Publication status

  • Published

File Version

  • Published version

Journal

Journal of the Royal Society of Medicine

ISSN

0141-0768

Publisher

SAGE Publications

Issue

9

Volume

97

Page range

428-431

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2008-10-08

First Compliant Deposit (FCD) Date

2018-04-27

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