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Related Experiment Videos

All change: cancer services in transition

S Morris1, M B McIllmurray, K Soothill

  • 1Institute for Health Research, Lancaster University, UK.

European Journal of Cancer Care
|October 30, 1998
PubMed
Summary

This study examines challenges in hospice care for cancer patients amidst UK health reforms. It highlights issues in service integration, organization, and medical influence, offering insights for improved supportive cancer care.

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Area of Science:

  • Oncology
  • Health Services Research
  • Palliative Care

Background:

  • Radical changes in UK cancer services following the Calman-Hine Report and the NHS and Community Care Act 1990.
  • Focus on the evolving landscape of hospice care within these reforms.
  • Exploration of potential issues and dilemmas in providing supportive care for cancer patients and families.

Purpose of the Study:

  • To explore potential issues and dilemmas in providing supportive care for cancer patients and their families within changing hospice care structures.
  • To discuss the benefits and drawbacks of evolving organizational structures and ethos in cancer services.
  • To facilitate debate on developments in hospice and cancer services.

Main Methods:

  • Qualitative study drawing on interview data from the pilot phase of a larger research project.

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  • Interviews conducted with 29 professionals involved in cancer service provision in Lancaster and Kendal.
  • Analysis of interview data to identify key themes and trigger reflections on service developments.

    • Main Results:

    • Identified three key themes of concern: links between services, changing organizational factors, and increasing 'medical imperialism'.
    • Discussed potential benefits and drawbacks associated with the changing ethos and organizational structures in hospice care.
    • Presented reflections on developments in hospice and cancer services, informed by professional perspectives.

    Conclusions:

    • The paper offers a commentary on developments in the hospice sector rather than definitive conclusions.
    • Highlights the need for ongoing discussion and debate regarding the psycho-social needs of cancer patients and their carers.
    • Suggests that evolving service structures present both opportunities and challenges for supportive cancer care.