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Related Experiment Videos

Innovative palliative care in Edmonton

R L Fainsinger1, E Bruera, K MacMillan

  • 1Department of Oncology, University of Alberta, Edmonton.

Canadian Family Physician Medecin De Famille Canadien
|December 5, 1997
PubMed
Summary

This palliative care program in Edmonton improves access and coordination for patients and supports family physicians. The initiative aims to reduce acute care deaths and enhance home-based care, meeting most regional needs.

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Area of Science:

  • Palliative Care Medicine
  • Healthcare Management
  • Geriatric Medicine

Background:

  • Palliative care access in Edmonton is limited by uneven service development, poor distribution, and economic constraints.
  • Family physician involvement is hindered by fragmented access, poor coordination, and insufficient reimbursement for complex care.

Purpose of the Study:

  • To establish high-quality, accessible palliative care across all Edmonton settings.
  • To reduce healthcare costs by minimizing deaths in acute care facilities.
  • To support family physicians in managing patients at home or in palliative care units.

Main Methods:

  • Implementation of a regional palliative care program.
  • Integration of home care and consultant teams.
  • Utilization of a specialized 14-bed acute palliative care unit.
  • Designation of family physicians as primary caregivers in 56 palliative continuing care beds.

Main Results:

  • The program effectively addresses a significant portion of Edmonton's palliative care needs.
  • Family physicians play a crucial role, supported by consulting teams.
  • Ongoing evaluation is identifying areas for improvement, particularly in supporting home-based end-of-life care.

Conclusions:

  • The Edmonton palliative care program demonstrates success in meeting regional demands.
  • Enhanced support systems are vital for family physicians managing palliative care.
  • Further research is needed to optimize support for patients receiving end-of-life care at home.

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