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Operation of a hospital palliative care service: a fourth-generation evaluation
Carla Simone Leite de Almeida1,2, Sonia Silva Marcon1, Laura Misue Matsuda1
1Universidade Estadual de Maringá. Maringá-PR, Brasil.
Objective:
Qualitatively evaluate the operation of a palliative care service in oncology.
Methodology:
Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method.
Results:
Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient's biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members.
Final Consideration:
For palliative care progress in the service, some arrangements are required to enhance integrality of care.
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