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Palliative Education and Care for the Homeless (PEACH): A Model of Outreach Palliative Care for Structurally
Nicole Buchanan1, Naheed Dosani2, Andrew Bond3
1Is a palliative care fellow at the University of Toronto, based in Toronto, ON. She is interested in improving the accessibility of palliative care for structurally vulnerable populations. Nicole can be reached by e-mail at nicole.buchanan@medportal.ca.
Abstract:
The Palliative Education and Care for the Homeless (PEACH) program comprises a community palliative care team serving some of the most complex clients in the healthcare system. Formal partnerships bring together physician, nursing, psychosocial and homecare, health and housing navigation supports. PEACH has served over 1,000 clients, leading field-defining research, medical education and public advocacy. The PEACH program demonstrates that innovation through deep interorganizational and intersectoral integration can drive value-based impact for the most complex clients, providing instructive lessons for public health system reform well beyond the margins faced by people who are unhoused. This paper describes how PEACH's unique model, critical community partnerships and research have been necessary for it to become a leader in community-based palliative care for structurally vulnerable people.
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