Davies, N;
Maio, L;
Paap, JV;
Mariani, E;
Jaspers, B;
Sommerbakk, R;
Grammatico, D;
... for the IMPACT research team; + view all
(2014)
Quality palliative care for cancer and dementia in five European countries: some common challenges.
Aging Ment Health
, 18
(4)
pp. 400-410.
10.1080/13607863.2013.843157.
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Abstract
Objectives: There is a growing consensus worldwide that palliative care needs to be both more inclusive of conditions other than cancer and to improve. This paper explores some common challenges currently faced by professionals providing palliative care for patients with either cancer or dementia across five countries. Method: One focus group (n = 7) and 67 interviews were conducted in 2012 across five countries: England, Germany, Italy, the Netherlands and Norway, with professionals from dementia, cancer and palliative care settings. Results: The interviews revealed five common challenges faced across the five countries: communication difficulties (between services; and between professionals, and patients and their families); the variable extent of structural/functional integration of services; the difficulties in funding of palliative care services; problematic processes of care (boundaries, definitions, knowledge, skills and inclusiveness) and, finally, time constraints. Conclusion: These are not problems distinct to palliative care, but they may have different origins and explanations compared to other areas of health care. This paper explored deeper themes hidden behind a discourse about barriers and facilitators to improving care.
| Type: | Article |
|---|---|
| Title: | Quality palliative care for cancer and dementia in five European countries: some common challenges. |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/13607863.2013.843157 |
| Publisher version: | http://dx.doi.org/10.1080/13607863.2013.843157 |
| Additional information: | ©� 2013 The Author(s). Published by Taylor & Francis. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named [author(s)/rightsholder] have been asserted. |
| Keywords: | palliative care; dementia; cancer; quality of health care; end of life care; |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1421778 |
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