Chapter

Need for palliative care

Nick Bosanquet and Chris Salisbury

in Providing a palliative care service: towards an evidence base

Published in print March 1999 | ISBN: 9780192629913
Published online November 2011 | e-ISBN: 9780191730153 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192629913.003.0007
Need for palliative care

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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

Chapter.  4211 words. 

Subjects: Palliative Medicine

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