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Providing a palliative care service: towards an evidence base$
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Nick Bosanquet and Chris Salisbury

Print publication date: 1999

Print ISBN-13: 9780192629913

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192629913.001.0001

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Need for palliative care

Need for palliative care

(p.43) Question 2 Need for palliative care
Providing a palliative care service: towards an evidence base

Nick Bosanquet

Chris Salisbury

Oxford University Press

This chapter discusses the current level of need for palliative care. In the past, palliative care was often confined to patients with terminal cancer; however, a growing recognition of the need and importance of palliation with patients suffering from other diseases was emerging. The three main diseases that may require palliative care are cancer, non-malignant progressive disease, and children's terminal illness. This chapter focuses on the two strategies that aim to estimate the need for palliative care. These are the epidemiological method and the evaluation of health service use. The epidemiological approach employs the cause-specific mortality in diseases that require palliation and relates this to the type and frequency of symptoms experienced by terminally ill patients. Health service use meanwhile identifies the patients in need of palliative care.

Keywords:   level of need, need, palliation, epidemiological method, cause-specific mortality, health service

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