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Palliative care - the new essentials
Abel, J. Kellehear, Allan Karapliagou, Aliki
Abel, J.
Kellehear, Allan
Karapliagou, Aliki
Publication Date
2018
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Rights
© 2018. AME Publishing Company. Open access on the Annals of Palliative Medicine website. Reproduced with permission for reuse from the publisher.
Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
2018-03-09
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Abstract
If global palliative care is to successfully address challenges of unequal access, continuity
of care, and health services reductionism, new practice models to address these issues need to be identified, debated and tested. This paper offers one such practice model based on a public health approach to palliative care that has so far shown promising evidence of effectiveness.
Methods: We describe how four essential elements within a public health model can work together
to address quality and continuity of care as well as addressing the numerous barriers of access. These
elements are: (I) specialist, and (II) generalist palliative care services working with (III) communities and neighbourhoods, working in their turn with their (IV) key civic institutions.
Results: The positive and negative impact and advantages of each of these elements is described and
discussed.
Conclusions: A solely clinical model of palliative care is inadequate to addressing the multiple comorbidities and access issues characteristic of modern palliative care. A public health approach based on a close partnership between clinical services and communities/civic institutions is the optimal practice model.
Version
Published version
Citation
Abel J, Kellehear A and Karapliagou A (2018) Palliative care - the new essentials. Annals of Palliative Medicine. 7(Supp 2): S3-S14.
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Article