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Centre for Policy on Ageing | |
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| A protocol for determining differences in consistency and depth of palliative care service provision across community sites | | Author(s) | Nadine Schuurman, Valerie A Crooks, Ofer Amram |
| Journal title | Health and Social Care in the Community, vol 18, no 5, September 2010 |
| Pages | pp 537-548 |
| Source | http://www.ingentaconnect.com/content/bsc/hscc DOI: 10.1111/j.1365-2524.2010.00933.x |
| Keywords | Terminal care ; Pain ; Urban areas ; Rural areas ; Regional ; Methodology ; Canada. |
| Annotation | Numerous accounts document the difficulty in obtaining accurate data regarding the extent and composition of palliative care services. Compounding the problem is the lack of standardisation regarding categorisation and reporting across jurisdictions. In this study, the authors gathered both quantitative and spatial (or geographical) data to develop a composite picture that captures the extent, composition and depth of palliative care in the Canadian province of British Columbia (BC). The province is intensely urban in the southwest, and is rural or remote in most of the remainder. They conducted a detailed telephone survey of all palliative care home care teams and facilities hosting designated beds in BC. They used geographic information systems to geocode locations of all hospice and hospital facilities. In-home care data was obtained individually from each of five BC regional health authorities. In addition, they purchased accurate road travel time data to determine service areas around palliative facilities and to determine populations outside a 1-hour travel time to a facility. With this data, they were able to calculate three critical metrics: (i) the population served within 1 hour of palliative care facilities - and more critically those not served; (ii) a matrix that determines access to in-home palliative care measured by both diversity of professionals as well as population served per palliative team member; and (iii) a ranking of palliative care services across the province based on physical accessibility as well as the extent of in-home care. In combination, these metrics provide the basis for identifying areas of vulnerability with respect to not meeting potential palliative care need. In addition, the ranking provides a basis for rural/urban comparisons. Finally, the protocol introduced can be used in other areas and provides a means of comparing palliative care service provision amongst multiple jurisdictions. (KJ/RH). |
| Accession Number | CPA-101014206 A |
| Classmark | LV: CT7: RK: RL: 5CP: 3D: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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