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Acute palliative care models: scoping review.

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Summary
This summary is machine-generated.

This scoping review identified four palliative care models in acute settings: primary, consultative, integrative, and hybrid. Each model presents unique benefits and drawbacks, with no single ideal approach found.

Keywords:
Hospital careQuality of lifeSymptoms and symptom managementTerminal care

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Area of Science:

  • Healthcare Delivery Models
  • Palliative Care Research
  • Acute Care Settings

Background:

  • Palliative care delivery in acute settings is complex.
  • Understanding different models is crucial for optimizing patient care.
  • Existing literature needs synthesis to guide best practices.

Purpose of the Study:

  • Identify common palliative care delivery models in acute care.
  • Analyze the advantages and disadvantages of each model.
  • Review the supporting research evidence for each model.

Main Methods:

  • Conducted an extensive literature search across multiple databases (EMBASE, Medline, CINAHL, Pubmed).
  • Utilized search terms related to palliative care models and acute care settings.
  • Analyzed data using tabular summaries and content analysis.

Main Results:

  • Analyzed 41 articles, identifying four palliative care models: primary, consultative, integrative, and hybrid.
  • Models vary in specialist access, service fragmentation, provider relationships, resource utilization, timing, communication, and role clarity.
  • Observed differences in patient outcomes and healthcare utilization across models.

Conclusions:

  • No single ideal palliative care model was identified for acute settings.
  • Each model possesses distinct advantages and disadvantages.
  • Further research is required to determine optimal model applicability in specific acute care contexts.