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Reflecting on Palliative Care Integration in Canada: A Qualitative Report
Maryam Qureshi1, Maggie C Robinson2, Aynharan Sinnarajah3,4,5
1Werklund School of Education, University of Calgary, Calgary, AB T2N 1N4, Canada.
Current Oncology (Toronto, Ont.)
|July 21, 2021
Summary
Integrated palliative care requires formalized relationships and collaboration pathways. Canadian clinicians highlighted needs in training, acceptance, and referrals for better healthcare integration.
Area of Science:
- Palliative Care
- Healthcare Systems Integration
- Qualitative Research
Background:
- Integrated interdisciplinary care is crucial for effective palliative care.
- Limited literature exists on practical methods for fostering and maintaining integrated palliative care services.
- Understanding clinician perspectives is vital for improving healthcare integration.
Purpose of the Study:
- To explore how palliative care clinicians in Canada perceive the integration of services across the healthcare system.
- To identify facilitators and barriers to integrated palliative care from the perspective of frontline clinicians.
- To inform policy, education, practice, and research for enhanced palliative care integration in Canada.
Main Methods:
- Qualitative analysis of written responses from 14 palliative care clinicians (physicians, nurse, social worker) across six Canadian provinces.
- Content analysis was employed to categorize clinician experiences and perceptions regarding service integration.
- Data were drawn from a larger study, focusing on clinicians' practical experiences with integration.
Main Results:
- Clinicians emphasized the benefits of formalized relationships and collaborative pathways for streamlining referrals and consultations.
- Identified needs include enhanced training for residents and community primary care physicians, alongside improved acceptance and shared understanding.
- Successful integration was noted with oncology departments, though overall integration was perceived as a complex, multi-level process.
Conclusions:
- Formalized relationships and clear collaboration pathways are key to successful palliative care integration.
- Addressing training gaps, fostering interprofessional acceptance, and improving referral processes are critical areas for development.
- Palliative care integration is a complex process requiring coordinated efforts at departmental, provincial, and national levels, mirroring global best practices.
Keywords:
collaborationintegrationinterdisciplinarypalliative approachpalliative carepalliative care modelpalliative care teamsMore Related Videos
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