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Palliative Care for Non-cancer Patients$
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Julia Addington-Hall and Irene Higginson

Print publication date: 2001

Print ISBN-13: 9780192629609

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192629609.001.0001

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Palliative care for non-cancer patients: a purchaser perspective

Palliative care for non-cancer patients: a purchaser perspective

(p.217) Chapter 18 Palliative care for non-cancer patients: a purchaser perspective
Palliative Care for Non-cancer Patients

John H. James

Oxford University Press

Since the mid-1980s progress can be seen in addressing the specific needs for palliative care. From a situation where broadly speaking, palliative care in the UK was the province of a hospice movement largely detached from the NHS mainstream, palliative care now has a more central place. All purchasing agencies, whether health authority or general practice based, now have an approach to the purchasing of palliative care which is based on a reasonable degree of empathy with the broad principles on which palliative care provision currently rests. This chapter argues that from a purchaser perspective, palliative care has to be flexible in response to changing demand and changing perceptions of what can be delivered. Development of more inclusive services is desirable on all counts. The skills which evolved in relation to the care and treatment of cancer patients ought to be made available to those affected by other terminal conditions, while the fact that many people with AIDS have chosen to accept treatment and care in non-AIDS specific settings should be seen as a positive sign of the progress that has been made in overcoming the stigma once associated with the condition.

Keywords:   patient care, palliative care purchasing, purchasing agencies, AIDS

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