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Palliative care services: what needs assessment?

M A Robbins1, S J Frankel

  • 1Department of Social Medicine, University of Bristol, UK.

Palliative Medicine
|October 1, 1995
PubMed
Summary
This summary is machine-generated.

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Many health authorities in England have not assessed palliative care needs or reviewed services recently. Most contracts are short-term, highlighting gaps in data and service planning for effective palliative care purchasing.

Area of Science:

  • Health Services Research
  • Palliative Care
  • Healthcare Management

Background:

  • Effective healthcare purchasing relies on robust needs assessments and well-structured service contracts.
  • Palliative care services require specific attention to ensure adequate provision and quality.

Purpose of the Study:

  • To describe current practices in needs assessment for palliative care services across English district health authorities.
  • To analyze the characteristics of contracts for palliative care services.
  • To identify implications for healthcare purchasing strategies.

Main Methods:

  • A survey was distributed to all district health authorities in England.
  • Data collected included the frequency of needs assessments, data types used, and contract details (duration, audit requirements).

Related Experiment Videos

  • A response rate of 74% was achieved, with 38 authorities providing contract information.

    • Main Results:

    • Over 50% of health authorities had not conducted a palliative care needs assessment or service review in the past five years.
    • Among those that did, many reported a need for more comprehensive data.
    • The majority of provided palliative care contracts were only one year in duration.

    Conclusions:

    • Significant gaps exist in the systematic assessment of palliative care needs and service reviews within English health authorities.
    • Short contract durations and data limitations may hinder effective service development and healthcare purchasing.
    • Findings underscore the need for improved data collection and strategic planning in commissioning palliative care.