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Evaluating program integration and the rise in collaboration: case study of a palliative care network
Daryl Bainbridge1, Kevin Brazil, Paul Krueger
1Department of Clinical Epidemiology and Biostatistics, McMaster University, Juravinski Cancer Centre, 699 Concession Street, Room 4-203, Hamilton, Ontario, Canada L8V 5C2. daryl.bainbridge@jcc.hhsc.ca
Journal of Palliative Care
|March 1, 2012
Summary
This study explored a regional palliative care network (PCN) in Ontario, Canada. The PCN fostered community development for integrated palliative care, finding partnerships beneficial despite structural challenges.
Area of Science:
- Health Services Research
- Palliative Care
- Community Development
Background:
- Growing global interest in regional palliative care networks (PCNs) for integrated, cost-effective care.
- Examined a PCN in southern Ontario, Canada, utilizing a community development approach.
- Goal: build local palliative care capacity for a competent, integrated regional system.
Purpose of the Study:
- To evaluate the structural aspects and effectiveness of a regional palliative care network.
- To understand the impact of a community development approach on palliative care integration.
- To identify facilitators and barriers to successful PCN functioning.
Main Methods:
- Employed a case study methodology.
- Conducted a document review, surveyed 20 organizational administrators, and interviewed the network director.
- Analyzed the PCN at a structural level.
Main Results:
- The PCN encompassed 14 distinct communities at varying developmental stages.
- Administrators perceived the network partnership as beneficial and collaborative.
- Key features for efficient palliative care delivery were noted as lacking in some communities.
Conclusions:
- The PCN demonstrated an effort to address specific local needs through a participatory approach.
- Progress towards integration is gradual.
- Persistent structural issues may impede the PCN's optimal functioning.
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