TY - JOUR
T1 - Edmonton regional palliative care program
T2 - Impact on patterns of terminal cancer care
AU - Bruera, Eduardo
AU - Neumann, Catherine M.
AU - Gagnon, Bruno
AU - Brenneis, Carleen
AU - Kneisler, Patricia
AU - Selmser, Pat
AU - Hanson, John
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 1999/8/10
Y1 - 1999/8/10
N2 - The Edmonton regional palliative care program was established in July 1995 to measure the access of patients with terminal cancer to palliative care services, decrease the number of cancer-related deaths in acute care facilities and increase the participation of family physicians in the care of terminally ill patients. In this retrospective study the authors compared the pattern of care and site of deaths before establishment of the program (1992/93) and during its second year of operation (1996/97). Significantly more cancer-related deaths occurred in acute care facilities in 1992/93 than in 1996/97 (86% [1119/1304] v. 49% [633/1279]) (p ≤ 0.001). The number of inpatient days decreased, from 24,566 in 1992/93 to 6960 1996/97. More cancer patients saw a palliative care consult team in 1996/97 than in 1992/93 (82% v. 22%). The shift from deaths in acute care facilities to palliative hospices suggests that the establishment of an integrated palliative care program has increased access of patients with terminal cancer to palliative care.
AB - The Edmonton regional palliative care program was established in July 1995 to measure the access of patients with terminal cancer to palliative care services, decrease the number of cancer-related deaths in acute care facilities and increase the participation of family physicians in the care of terminally ill patients. In this retrospective study the authors compared the pattern of care and site of deaths before establishment of the program (1992/93) and during its second year of operation (1996/97). Significantly more cancer-related deaths occurred in acute care facilities in 1992/93 than in 1996/97 (86% [1119/1304] v. 49% [633/1279]) (p ≤ 0.001). The number of inpatient days decreased, from 24,566 in 1992/93 to 6960 1996/97. More cancer patients saw a palliative care consult team in 1996/97 than in 1992/93 (82% v. 22%). The shift from deaths in acute care facilities to palliative hospices suggests that the establishment of an integrated palliative care program has increased access of patients with terminal cancer to palliative care.
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M3 - Article
C2 - 10463053
AN - SCOPUS:0033543105
SN - 0820-3946
VL - 161
SP - 290
EP - 293
JO - CMAJ
JF - CMAJ
IS - 3
ER -