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Assessing structure, process and outcome in palliative day care
 — a pilot study for a multicentre trial
Author(s)Hannah-Rose Douglas, Irene J Higginson, Kathryn Myers
Journal titleHealth & Social Care in the Community, vol 8, no 5, September 2000
Pagespp 336-344
KeywordsPain ; Terminal care ; Day centres ; Pilot ; Evaluation ; London.
AnnotationPalliative day care is the most recent development in the evolution of palliative and hospice services in the UK. Day care allows patients to continue living at home, while regularly attending a specialist care centre for therapy and counselling, for example. However, the costs and outcomes of services need to be evaluated. A developmental stage of exploratory research was undertaken at the start of a major multicentre trial of palliative day care, to identify ways in which service outcomes could be evaluated and measured. In-depth observations at five palliative day care centres were undertaken across the London health region. This provided better understanding of the models, outcomes and processes of palliative day care in five different environments. Centres represent the spectrum of medical and social care models. Findings were analysed using an organisational systems approach, which showed that, despite the lack of a national strategic approach to developing the service, the centres all provided a core set of services which were broadly similar. However, differences in philosophy, ownership and organisation may have an impact on the costs of the service. (RH).
Accession NumberCPA-001031218 A
ClassmarkCT7: LV: NMC: 4UC: 4C: 82L

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