The coverage of cancer patients by designated palliative services: a population-based study, South Australia, 1999

Hunt, Roger W; Fazekas, BS; Luke, CG; Priest, KR; Roder, DM
September 2002
Palliative Medicine;Sep2002, Vol. 16 Issue 5, p403
Academic Journal
Our aims were to determine the extent of coverage by designated palliative care services of the population of terminally ill cancer patients in South Australia, and to identify the types of patients who receive these services and the types who do not. All designated hospice and palliative care services in South Australia notified to the State Cancer Registry the identifying details of all their patients who died in 1999. This information was cross-referenced with the data for all cancer deaths (n = 3086) recorded on the registry for 1999. We found that the level of coverage by designated palliative services of patients who died with cancer in 1999 was 68.2%. This methodology was previously used to show that the level of coverage had increased from 55.8% for cancer deaths in 1990 to 63.1% for those in 1993. Patients who died at home had the largest coverage by palliative services (74.7%), whereas patients who died in nursing homes had the lowest coverage (48.4%). Patients who did not receive care from these palliative services tended to be 80 years of age or older at death, country residents, those with a survival time from diagnosis of three months or less, and those diagnosed with a prostate, breast, or haematological malignancy. Gender, socioeconomic status of residential area, and race were not related to coverage by a designated palliative service, whereas migrants to Australia from the UK, Ireland, and Southern Europe were relatively high users of these services. We conclude that the high level of palliative care coverage observed in this study reflects widespread support for the establishment of designated services. When planning future care, special consideration should be given to the types of patients who most miss out on these services.


Related Articles

  • Differences in understanding of specialist palliative care amongst service providers and commissioners in South London. Payne, S; Sheldon, F; Jarrett, N; Large, S; Smith, P; Davis, CL; Turner, P; George, S // Palliative Medicine;Sep2002, Vol. 16 Issue 5, p395 

    This paper describes a study that sought to identify service providers' and commissioners' understanding of specialist palliative care within the context of changing service provision in one area of South London. Using a formative evaluation framework, we examined the views of 44 providers and...

  • What every hospital needs to know about building a successful palliative care program. MEIER, DIANE E. // AHA News;10/27/2008, Vol. 43 Issue 22, p5 

    This article offers ideas for hospitals for creating a successful palliative care program in the U.S. It instructs hospitals to identify palliative care experts and form a committee to plan a program. It also advises to seek mentorship in program development. In addition, the article suggests to...

  • Hospitals in the West, Midwest most likely to offer palliative care. Jacob, Harry S. // Hem/Onc Today;11/10/2008, Vol. 9 Issue 20, p28 

    The article focuses on a study which concluded that hospitals with more than 300 beds, teaching institutions in the West and Midwest in the U.S. were most likely to provide palliative care. The research added that not-for-profit hospitals, those affiliated with a university or hospice program,...

  • Pain control. Beckley, Elizabeth Thompson // Modern Physician;Oct2003, Vol. 7 Issue 10, p26 

    Explains why medical centers in the U.S. need to develop a comprehensive palliative care program. Components of such program; Attitude of hospitals toward palliative care programs; Benefit of palliative care to physicians.

  • CIRCLE OF LIFE. Bilchik, Gloria Shur // H&HN: Hospitals & Health Networks;Aug2003, Vol. 77 Issue 8, p60 

    Deals with the innovative programs for palliative and end-of-life care of health facilities recognized by the American Hospital Association during its fourth annual Circle of Life Awards. End-of-Life Care Program of Providence Health System in Portland, Oregon; Hospice & Palliative Carecenter...

  • Circle of Life Awards.  // AHA News;5/29/2006, Vol. 42 Issue 11, p4 

    This article provides information on the Circle of Life Awards, which honors programs in the U.S. that have made great impact in palliative and end-of-life care.

  • Celebrating Innovation in Palliative Care. FRANEY, STEVE // H&HN: Hospitals & Health Networks;May2012, Vol. 86 Issue 5, p12 

    The article reports on an increase which has been seen in the number of U.S. hospitals that offer palliative care services and discusses an increased emphasis on palliative care and terminal care which is being seen in the U.S. health care system. In the article the author offers his opinions on...

  • Social Work and Palliative Care. Small, Neil // British Journal of Social Work;Dec2001, Vol. 31 Issue 6, p961 

    This article presents a review of literature on the relationship between social work and palliative care. There are close links between the philosophy and practice of palliative care and of social work. Social workers have made a significant contribution to developing palliative care. Today over...

  • The role of palliative day care in supporting patients: a therapeutic community space. Fisher, Colleen; O'Connor, Moira; Abel, Kaye // International Journal of Palliative Nursing;Mar2008, Vol. 14 Issue 3, p117 

    The work of palliative day care extends the philosophy and practice of palliative care to patients in the community. It supports the needs of patients who have a diminished ability to fulfil their family and societal roles. The extent to which these aims reflect current practice, however, has...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics