Journal ArticleDOI
Education, implementation, and policy barriers to greater integration of palliative care: A literature review:
Melissa D. Aldridge,Jeroen Hasselaar,Eduardo Garralda,Marlieke van der Eerden,David G. Stevenson,Karen McKendrick,Carlos Centeno,Diane E. Meier +7 more
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TLDR
The key policy and educational opportunities in the United States to address and potentially overcome the barriers to greater integration of palliative care into the healthcare of Americans with serious illness are described.Abstract:
Background:Early integration of palliative care into the management of patients with serious disease has the potential to both improve quality of life of patients and families and reduce healthcare...read more
Citations
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Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report
Felicia Marie Knaul,Paul Farmer,Eric L. Krakauer,Eric L. Krakauer,Liliana De Lima,Afsan Bhadelia,Afsan Bhadelia,Xiaoxiao Jiang Kwete,Xiaoxiao Jiang Kwete,Héctor Arreola-Ornelas,Octavio Gómez-Dantés,Natalia M. Rodriguez,George Alleyne,Stephen R. Connor,David J. Hunter,David J. Hunter,Diederik Lohman,Lukas Radbruch,María del Rocío Sáenz Madrigal,Rifat Atun,Kathleen M. Foley,Julio Frenk,Dean T. Jamison,M. R. Rajagopal,Huda Abu Saad Huijer,Agnes Binagwaho,Snežana M Bošnjak,David J Clark,James F. Cleary,José R Cossío Díaz,Cynthia Goh,Pascal J. Goldschmidt-Clermont,Mary Gospodarowicz,Liz Gwyther,Irene J Higginson,Thomas Hughes-Hallett,Emmanuel Luyirika,Maria Elena Medina Mora,Faith Mwangi-Powell,Sania Nishtar,Megan O'Brien,K. Srinath Reddy,Judith A Salerno,Silvia Allende,Nahid Bhadelia,Mariana Calderon,Victoria Y. Fan,Jorge Jiménez,Christian Ntizimira,Pedro Emilio Perez-Cruz,Isaias Gerardo Salas-Herrera,Dingle Spence,Mark R Steedman,Stéphane Verguet,Julia Downing,Bishnu Dutta Paudel,Maia Elsner,James Gillespie,Karen Hofman,Quach Thanh Khanh,Karl A. Lorenz,Oscar Méndez Carniado,Rachel Nugent,Emily B Wroe,Camilla Zimmerman +64 more
TL;DR: The aim of this study was to provide evidence that palliative care and pain relief research should be considered as a continuum of treatment for patients with life-threatening illnesses.
Journal ArticleDOI
Integration of oncology and palliative care: a Lancet Oncology Commission
Stein Kaasa,Jon Håvard Loge,Matti Aapro,Tit Albreht,Rebecca Anderson,Eduardo Bruera,Cinzia Brunelli,Augusto Caraceni,Andrés Cervantes,David C. Currow,Luc Deliens,Marie Fallon,Xavier Gómez-Batiste,Kjersti Støen Grotmol,Breffni Hannon,Dagny Faksvåg Haugen,Irene J Higginson,Marianne Jensen Hjermstad,David Hui,Karin Jordan,Geana Paula Kurita,Philip Larkin,Guido Miccinesi,Friedemann Nauck,Rade Pribakovic,Gary Rodin,Per Sjøgren,Patrick Stone,Camilla Zimmermann,Tonje Lundeby +29 more
TL;DR: This Commission proposes the use of standardised care pathways and multidisciplinary teams to promote integration of oncology and palliative care, and calls for changes at the system level to coordinate the activities of professionals, and for the development and implementation of new and improved education programmes, with the overall goal of improving patient care.
Journal ArticleDOI
Few Hospital Palliative Care Programs Meet National Staffing Recommendations
TL;DR: To meet current and future palliative care needs, expanded and enhanced education, as well as supportive financing mechanisms for consultations, are needed.
Journal ArticleDOI
Providing end-of-life care in general practice : findings of a national GP questionnaire survey
TL;DR: The findings reveal enduring priorities for policy, commissioning, practice development, and research in future primary palliative care.
References
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Journal ArticleDOI
Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer
Jennifer S. Temel,Joseph A. Greer,Alona Muzikansky,Emily R. Gallagher,Sonal Admane,Vicki A. Jackson,Constance Dahlin,Craig D. Blinderman,Juliet Jacobsen,William F. Pirl,J. Andrew Billings,Thomas J. Lynch +11 more
TL;DR: Among patients with metastatic non-small-cell lung cancer, early palliative care led to significant improvements in both quality of life and mood and, as compared with patients receiving standard care, patients received less aggressive care at the end of life but longer survival.
Journal ArticleDOI
Family perspectives on end-of-life care at the last place of care.
Joan M. Teno,Brian R. Clarridge,Virginia Casey,Lisa C. Welch,Terrie Wetle,Renée R. Shield,Vincent Mor +6 more
TL;DR: Many people dying in institutions have unmet needs for symptom amelioration, physician communication, emotional support, and being treated with respect, according to this evaluation of the US dying experience at home and in institutional settings.
Journal ArticleDOI
Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer: The Project ENABLE II Randomized Controlled Trial
Marie Bakitas,Kathleen Doyle Lyons,Mark T. Hegel,Stefan Balan,Frances C. Brokaw,Janette L. Seville,Jay G. Hull,Zhongze Li,Tor D. Tosteson,Ira Byock,Tim A. Ahles +10 more
TL;DR: In this article, the authors evaluated the effect of a nursing-led intervention on quality of life, symptom intensity, mood, and resource use in patients with advanced cancer in a randomized controlled trial.
Effects of a Palliative Care Intervention on Clinical Outcomes in Patients With Advanced Cancer
Kathleen Doyle Lyons,Mark T. Hegel,Stefan Balan,Frances C. Brokaw,Janette L. Seville,Jay G. Hull,Zhongze Li,Tor D. Tosteson,Ira Byock,Tim A. Ahles +9 more
TL;DR: Those receiving a nurse-led, palliative care-focused intervention addressing physical, psychosocial, and care coordination provided concurrently with oncology care had higher scores for quality of life and mood, but did not have improvements in symptom intensity scores or reduced days in the hospital or ICU or emergency department visits.
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Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial
Camilla Zimmermann,Nadia Swami,Monika K. Krzyzanowska,Monika K. Krzyzanowska,Breffni Hannon,Breffni Hannon,Natasha B. Leighl,Natasha B. Leighl,Amit M. Oza,Amit M. Oza,Malcolm J. Moore,Malcolm J. Moore,Anne Rydall,Gary Rodin,Gary Rodin,Ian F. Tannock,Ian F. Tannock,Allan Donner,Christopher Lo,Christopher Lo +19 more