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The impact of a new public health approach to end-of-life care: A systematic review
Sallnow, L. Richardson, H. Murray, S.A. Kellehear, Allan
Sallnow, L.
Richardson, H.
Murray, S.A.
Kellehear, Allan
Publication Date
2016-02-12
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2015
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Abstract
Communities play an increasingly significant role in their own health and social care, and evidence demonstrates the
positive impact of this work on a range of health outcomes. Interest is building regarding the application of the principles of the new
public health approach to those facing the end of life and their families and communities.
To review the evidence relating to the impact of a new public health approach to end-of-life care, specifically as this applies to
efforts to strengthen community action.
Design: A systematic review employing narrative synthesis. Both meta-ethnography and the use of descriptive statistics supported
analysis.
Data sources: Eight databases (AMED, ASSIA, BiblioMap, CINAHL, Cochrane Reviews, EMBASE, MEDLINE and PsycINFO) were
searched from the earliest record to March 2015 using set eligibility criteria.
Results: Eight articles were included in the analysis. Three main themes emerged from the meta-ethnography: making a practical
difference, individual learning and personal growth and developing community capacity. The quantitative findings mapped to the
meta-ethnography and demonstrated that engaging communities can lead to improved outcomes for carers such as decreased fatigue
or isolation, increase in size of caring networks and that wider social networks can influence factors such as place of death and involvement of palliative care services.
Conclusion: Evidence exists for the impact of community engagement in end-of-life care. Impact assessment should be an integral part of future initiatives and policy makers should recognise that these approaches can influence complex issues such as carer support,
community capacity, wellbeing and social isolation.
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Sallnow L, Richardson H, Murray SA et al (2016) The impact of a new public health approach to end-of-life care: A systematic review. Palliative Medicine. 30(3): 200-211.
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