What makes palliative care needs "complex"? A multisite sequential explanatory mixed methods study of patients referred for specialist palliative care.
Anne M FinucaneConnie SwensonJohn I MacArtneyRachel PerryHazel LambertonLucy HetheringtonLisa Graham-WisenerScott A MurrayEmma CarduffPublished in: BMC palliative care (2021)
Complexity was hard to detail or to objectively define on referral documentation alone. It appeared to be a term used to describe patients whom primary or secondary care providers felt needed SPC knowledge or support to meet their needs. Hospices need to provide greater clarity regarding who should be referred, when and for what purpose. Education and training in palliative care for primary care nurses and doctors and hospital clinicians could reduce the need for referral and help ensure that hospices are available to those most in need of SPC input.
Keyphrases
- palliative care
- primary care
- advanced cancer
- healthcare
- end stage renal disease
- ejection fraction
- chronic kidney disease
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- quality improvement
- mental health
- preterm infants
- randomized controlled trial
- general practice
- emergency department
- electronic health record
- gestational age
- patient reported
- chronic pain
- virtual reality
- double blind