Extending specialist palliative care to all?

被引：79
|
作者：
Field, D
Addington-Hall, J
机构：
[1] Inst Canc Res, Royal Marsden NHS Trust, Ctr Canc & Palliat Care Studies, London SW3 6JJ, England
[2] Univ London Kings Coll, Sch Med & Dent, St Christophers Hosp, London, England
来源：
SOCIAL SCIENCE & MEDICINE | 1999年 / 48卷 / 09期
关键词：
palliative care services; hospices; dying; chronic illness;
D O I：
10.1016/S0277-9536(98)00430-4
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
How to extend palliative care services to all patients needing them is an issue currently exercising a range of bodies in contemporary Britain. This paper first considers the evidence regarding the needs of dying patients with long term conditions other than cancer and concludes that there is evidence to support their presumed need for palliative care. It then considers five potential barriers to extending specialist palliative care services to non-cancer patients in Britain. These are the skill base of current specialists in palliative care, difficulties in identifying candidates for specialist palliative care, the views of potential users of these services, resource implications and vested interests in present health service arrangements. (C) 1999 Elsevier Science Ltd. All rights reserved.
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页码：1271 / 1280
页数：10
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