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A Public Health Perspective on End of Life Care - Oxford Scholarship Online
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A Public Health Perspective on End of Life Care

Joachim Cohen and Luc Deliens


Worldwide, more than 50 million people die each year and it is estimated on the basis of the conditions leading to death that up to 60% of them could benefit from some form of palliative care. It is a public health challenge to ensure that these people can access good palliative or end-of-life care. Pursuing good population health essentially also implies striving for a ‘good enough death’ and a good quality of care at the end of life. Safeguarding a good quality of the end of life for patient populations for whom it is appropriate requires a public health approach. In most developed countries ... More

Keywords: death, palliative care, public health, end-of-life care, population health, chronic disease, quality of life, patient populations

Bibliographic Information

Print publication date: 2012 Print ISBN-13: 9780199599400
Published to Oxford Scholarship Online: May 2012 DOI:10.1093/acprof:oso/9780199599400.001.0001


Affiliations are at time of print publication.

Joachim Cohen, editor
End-of-life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium

Luc Deliens, editor
VU University Medical Center, Department of Public and Occupational Health, EMGO and Institute for Health and Care Research, Amsterdam, the Netherlands

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Part I Introduction

Part II Clinical and social context of death and dying

Chapter 2 Place of death and end-of-life care

Siew Tzuh Tang and Chen-Hsiu Chen

Chapter 4 End-of-life decisions

Agnes van der Heide and Judith Rietjens

Part III End-of-life care: Provision, access, and characteristics

Part IV End-of-life care settings

Chapter 10 Palliative care in institutional long-term care settings

Jenny van der Steen, Margaret R. Helton, Philip D. Sloane, and Miel W. Ribbe

Chapter 11 Palliative care in hospitals

Amy S. Kelley, Daniel J. Fischberg, and R. Sean Morrison

Part V Inequalities at the end of life: Under-served groups

Chapter 12 Non-cancer patients as an under-served group

Julia Addington-Hall and Katherine Hunt

Chapter 15 End-of-life care for patients with intellectual disabilities

Irene Tuffrey-Wijne, Annemieke Wagemans, and Leopold Curfs

Part VI End-of-life care policies

Chapter 18 Design, implementation, and evaluation of palliative care programmes and services with a public health WHO perspective

Xavier Gómez-Batiste, Jose Espinosa, M. Pau González-Olmedo, Marisa Martínez-Muñoz, Cristina Lasmarias, Anna Novellas, Elba Beas, Josep Porta-Sales, Jordi Trelis, Candela Calle, and Jan Stjernsward

Part VII Conclusion

End Matter