TY - JOUR
T1 - Innovative palliative care in Edmonton
AU - Fainsinger, Robin L.
AU - Bruera, Eduardo
AU - MacMillan, Karen
N1 - Copyright:
Copyright 2005 Elsevier B.V., All rights reserved.
PY - 1997
Y1 - 1997
N2 - PROBLEM BEING ADDRESSED Access to palliative care in Edmonton has been hampered by uneven development, poor distribution of services, and more recently, economic restraints. Family physicians' involvement in palliative care has been hindered by the variety of access points, poor coordination, and inadequate reimbursement for time-consuming and difficult patient care situations. OBJECTIVE OF PROGRAM To provide high-quality palliative care throughout Edmonton in all settings, with patients able to move easily throughout the components of the program; to lower costs by having fewer palliative care patients die in acute care facilities; and to ensure that family physicians receive support to care for most patients at home or in palliative care units. MAIN COMPONENTS OF PROGRAM The program includes a regional office, home care, and consultant teams. A specialized 14-bed palliative care unit provides acute care. Family physicians are the primary caregivers in the 56 palliative continuing care unit beds. CONCLUSIONS This program appears to meet most of the need for palliative care in Edmonton. Family physicians, with support from consulting teams, have a central role. Evaluation is ongoing; an important issue is how best to support patients dying at home.
AB - PROBLEM BEING ADDRESSED Access to palliative care in Edmonton has been hampered by uneven development, poor distribution of services, and more recently, economic restraints. Family physicians' involvement in palliative care has been hindered by the variety of access points, poor coordination, and inadequate reimbursement for time-consuming and difficult patient care situations. OBJECTIVE OF PROGRAM To provide high-quality palliative care throughout Edmonton in all settings, with patients able to move easily throughout the components of the program; to lower costs by having fewer palliative care patients die in acute care facilities; and to ensure that family physicians receive support to care for most patients at home or in palliative care units. MAIN COMPONENTS OF PROGRAM The program includes a regional office, home care, and consultant teams. A specialized 14-bed palliative care unit provides acute care. Family physicians are the primary caregivers in the 56 palliative continuing care unit beds. CONCLUSIONS This program appears to meet most of the need for palliative care in Edmonton. Family physicians, with support from consulting teams, have a central role. Evaluation is ongoing; an important issue is how best to support patients dying at home.
UR - http://www.scopus.com/inward/record.url?scp=0031278311&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031278311&partnerID=8YFLogxK
M3 - Article
C2 - 9386885
AN - SCOPUS:0031278311
SN - 0008-350X
VL - 43
SP - 1983
EP - 1992
JO - Canadian Family Physician
JF - Canadian Family Physician
IS - NOV.
ER -