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Access to Palliative Care in Canada.

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Area of Science:

  • Health Services Research
  • Palliative Care Medicine
  • Public Health Policy

Background:

  • Palliative care improves end-of-life experiences but faces access challenges in Canada.
  • Community-based palliative care is a priority for Canadian governments to support aging in place.
  • The Canadian Institute for Health Information (CIHI) is examining current access to publicly funded palliative care.

Purpose of the Study:

  • To investigate the current state of access to publicly funded palliative care across Canada.
  • To identify service gaps in palliative care provision for health system planners.
  • To inform strategies for improving end-of-life care delivery.

Main Methods:

  • Analysis of linked administrative data.
  • Examination of publicly funded palliative care services.
  • Focus on data from Alberta and Ontario for 2016-2017.

Main Results:

  • Only 15% of individuals who could benefit from palliative care received home care in Alberta and Ontario (2016-2017).
  • Early community-based palliative care is linked to improved end-of-life outcomes.
  • Access to palliative care demonstrates variability based on patient age and cancer diagnosis.

Conclusions:

  • Significant gaps exist in accessing community-based palliative care in Canada.
  • Timely palliative care intervention is associated with better patient outcomes.
  • Addressing disparities in access based on demographics and diagnosis is crucial for equitable care.