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Outcomes and Issues Addressed by Palliative Care in the Neurology Clinic
Yaowaree Leavell1,2, Emma Meyers3, Ali Mendelson4
1Department of Neurology, Oregon Health & Science University, Portland, Oregon.
Seminars in Neurology
|July 31, 2024
Summary
Neurological patients require palliative care in outpatient settings. This review examines care models, literature support, and barriers to access for this population.
Area of Science:
- Neurology
- Palliative Care
- Health Services Research
Background:
- Neurological illnesses present complex palliative care needs.
- These needs are often unmet in the outpatient clinical setting.
- Vulnerable patient populations face significant barriers to accessing care.
Purpose of the Study:
- To review existing models of palliative care delivery for neurological patients.
- To examine the literature supporting current care services.
- To identify limitations and barriers to necessary clinical care.
Main Methods:
- Literature review of existing models of care delivery.
- Analysis of services provided by neurology teams, palliative care specialists, telehealth, and home-based programs.
- Synthesis of evidence supporting current practices and identifying gaps.
Main Results:
- Various care delivery models exist, including neurology-led, palliative care specialist-led, telehealth, and home-based services.
- Literature supports the efficacy of these diverse approaches.
- Significant limitations and barriers to accessing essential palliative care persist.
Conclusions:
- Effective palliative care models for neurological conditions are available but not universally implemented.
- Further research and policy changes are needed to overcome barriers.
- Improving access to outpatient palliative care is crucial for this patient group.
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