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Developing rural communities' capacity for palliative care: a conceptual model.

Mary Lou Kelley¹

¹School of Social Work, Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada.

Journal of Palliative Care

|December 12, 2007

Summary

Aging populations necessitate enhanced palliative care services, especially in rural Canada. This study conceptualizes a four-phase community capacity development model for establishing rural palliative care programs.

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Area of Science:

Gerontology
Health Services Research
Community Health

Background:

The aging population in Canada and developing nations escalates the demand for palliative care.
Rural areas often lack palliative care specialists, relying on generalist healthcare providers.
Despite resource limitations, some rural communities have successfully implemented local palliative care programs.

Purpose of the Study:

To conceptualize the process of developing palliative care programs in rural communities.
To utilize a community capacity development theoretical perspective.
To provide a framework for rural palliative care program development.

Main Methods:

Conducted nine focus groups with interdisciplinary rural healthcare providers.
Included providers offering palliative care across seven Canadian provinces/territories.
Employed a qualitative research approach to explore program development.

Main Results:

Developed a theoretical model outlining four sequential phases of palliative care program development.
Phase 1: Antecedent community conditions.
Phase 2: Catalyst, Phase 3: Creating the team, Phase 4: Growing the program.

Conclusions:

The proposed model offers a practical and theoretical guide for developing rural palliative care programs.
Understanding these phases can assist practitioners and planners in similar contexts.
Community capacity building is crucial for successful rural palliative care initiatives.