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Palliative care delivery models 

Palliative care delivery models
Chapter:
Palliative care delivery models
Author(s):

Irene J. Higginson

DOI:
10.1093/med/9780199656097.003.0012
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date: 07 May 2021

Palliative care is not integrated into health care in many countries, with a network of services, a medical speciality or sub-speciality, and academic departments. A common distinction exists between generalist and specialist palliative care. Specialist service are dedicated to palliative care, have staff trained in it, and in addition to providing clinical care, engage in education, research, and the measurement of outcomes. Moreover, the patients they care for have more complex needs. Models of service delivery include inpatient palliative care units and hospices, consultation teams (at home, in the community, and in hospitals), day care units, and outpatient services. New models include short-term palliative care services, working in an integrated way with other services. Principles common to all services include a holistic approach (physical, emotional, social, and spiritual), considering the patient and family as the unit of care, and with impeccable attention to listening, communication, and individualized care.

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