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Planning palliative care services.

I Finlay1, C Wilkinson, C Gibbs

  • 1Marie Curie Centre, Cardiff.

Health Trends
|December 10, 1991
PubMed
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Local end-of-life care services in South Glamorgan are well-utilized and highly satisfactory, though provision for non-malignant disease deaths requires improvement. This audit assessed hospice, home care, and specialist nursing services.

Area of Science:

  • Palliative Care
  • Healthcare Services Audit
  • Geriatric Medicine

Background:

  • South Glamorgan has developed local end-of-life care services over seven years.
  • Services include hospice inpatient, outpatient, day care, specialist nursing, volunteer support, and domiciliary consultations.

Purpose of the Study:

  • To audit the utilization and satisfaction with local end-of-life care services.
  • To identify gaps in service provision for the dying.

Main Methods:

  • A postal questionnaire survey was distributed to all general practitioners in South Glamorgan.
  • The survey aimed to capture practice-level data on service use and satisfaction.

Main Results:

  • Established end-of-life care services (excluding paediatric oncology) show variable uptake but high satisfaction.

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  • A significant gap exists in services for patients dying from non-malignant diseases.

    • Conclusions:

    • Current end-of-life care services are generally effective and satisfactory.
    • There is a critical need to expand provision for non-malignant terminal illnesses.