Title |
Edmonton Regional Palliative Care Program: impact on patterns of terminal cancer care.
|
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Published in |
Canadian Medical Association Journal, August 1999
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Pubmed ID | |
Authors |
E Bruera, C M Neumann, B Gagnon, C Brenneis, P Kneisler, P Selmser, J Hanson |
Abstract |
The Edmonton Regional Palliative Care Program was established in July 1995 to measure the access of patients with terminal cancer to palliative care services, decrease the number of cancer-related deaths in acute care facilities and increase the participation of family physicians in the care of terminally ill patients. In this retrospective study the authors compared the pattern of care and site of deaths before establishment of the program (1992/93) and during its second year of operation (1996/97). Significantly more cancer-related deaths occurred in acute care facilities in 1992/93 than in 1996/97 (86% [1119/1304] v. 49% [633/1279]) (p < or = 0.001). The number of inpatient days decreased, from 24,566 in 1992/93 to 6960 in 1996/97. More cancer patients saw a palliative care consult team in 1996/97 than in 1992/93 (82% v. 22%). The shift from deaths in acute care facilities to palliative hospices suggests that the establishment of an integrated palliative care program has increased access of patients with terminal cancer to palliative care. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 9 | 10% |
Canada | 9 | 10% |
United States | 9 | 10% |
Spain | 9 | 10% |
Australia | 3 | 3% |
Mexico | 2 | 2% |
New Zealand | 2 | 2% |
Saudi Arabia | 2 | 2% |
Ireland | 2 | 2% |
Other | 7 | 8% |
Unknown | 39 | 42% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 56 | 60% |
Practitioners (doctors, other healthcare professionals) | 24 | 26% |
Scientists | 10 | 11% |
Science communicators (journalists, bloggers, editors) | 2 | 2% |
Unknown | 1 | 1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 1 | 3% |
Unknown | 28 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 5 | 17% |
Researcher | 5 | 17% |
Other | 4 | 14% |
Student > Bachelor | 4 | 14% |
Student > Postgraduate | 2 | 7% |
Other | 2 | 7% |
Unknown | 7 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 13 | 45% |
Nursing and Health Professions | 2 | 7% |
Social Sciences | 2 | 7% |
Psychology | 1 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Other | 1 | 3% |
Unknown | 9 | 31% |