Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

Title

Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

Creator

Fergus CJ; Chinn DJ; Murray SA

Publisher

Palliative Medicine

Date

2009

Subject

Process Mapping

Description

Recent changes to out-of-hours primary care in the UK have generated concerns about care for palliative care patients. The aim of this study was to identify key challenges and improvements to out-of-hours palliative care in a mixed urban and rural deprived area. We integrated data from three sources: interviews with patients and professionals, direct observations of services, and routine statistics. Key issues in the provision of care were the importance of good communication and having information available, the unwieldy process of accessing medical care out of hours, professionals bypassing routine out-of-hours care for palliative care patients, and out-of-hours care being provided by practitioners unaware of local services. We recommend provision to out-of-hours services of an enhanced 'special note' for palliative care patients, to be completed early in the course of the illness and updated regularly. The provision for certain complex patients to bypass NHS24 should be considered if routine care is not satisfactory.
2009

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Citation

Fergus CJ; Chinn DJ; Murray SA, “Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study,” Pediatric Palliative Care Library, accessed July 19, 2024, https://pedpalascnetlibrary.omeka.net/items/show/13826.