Canadian Virtual Hospice

Chochinov, Harvey Max; Harlos, Mike; Cory, Shelly; Horst, Glen; Nelson, Fred R.T.; Hearson, Brenda

doi:10.1093/med/9780199363315.003.0033

Cited by 5 publications

(5 citation statements)

References 1 publication

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“…This result suggests that systematic nationwide education programs of palliative care, such as the Palliative Care Emphasis program on symptom management and Assessment for Continuous medical Education, for non-cancer patients may accelerate the provision of high-quality palliative care for non-cancer patients and their families (18,19). As well as an education program, a palliative care consultation system in the community, such as the Canadian Virtual Hospice (20), could be an important and practical solution to meet the needs of advice from experts. This study had several limitations.…”

Section: Discussionmentioning

confidence: 99%

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

Hamano¹,

Shima²,

Kizawa³

2023

Ann Palliat Med

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Background: Specialist palliative care for non-cancer patients is important; however, access to inpatient hospices/palliative care units (PCUs) for non-cancer patients in Japan may be insufficient. We aimed to explore the current situation, the support needs to accept admission of non-cancer patients, and the willingness to accept admission of non-cancer patients to inpatient hospices/PCUs in Japan.Methods: We conducted a nationwide multicenter anonymous questionnaire survey to inpatient hospices/ PCUs in Japan in January 2022. We recruited potential participants from 381 PCUs belonging to Hospice Palliative Care Japan (HPCJ).Results: A total of 264 of 381 facilities responded to the survey (response rate: 69.3%) and 75.0% replied that it was "very necessary" or "necessary" to provide health care coverage of hospitalization costs of noncancer patients to the same level as cancer patients in inpatient hospices/PCUs. Furthermore, 59.1% replied that they would be "willing" or "somewhat willing" to admit non-cancer patients under the assumption that hospitalization costs covered by health care insurance. In addition, 15.2% of facilities had admitted noncancer patients. A need for clarification of admission criteria for chronic heart failure (CHF) (r s =−0.166, P=0.008), chronic respiratory failure (r s =−0.146, P=0.019), chronic hepatic failure (r s =−0.161, P=0.010), and chronic renal failure (CRF) with dialysis (r s =−0.151, P=0.017); the need for an education and training system for chronic respiratory failure (r s =−0.132, P=0.034); and advice from experts in the hospital for chronic respiratory failure (r s =−0.156, P=0.013) were significantly negatively associated with willingness to accept the admission of non-cancer patients.Conclusions: A total of 15.2% of facilities had admitted non-cancer patients under the current situation, and 59.1% of the facilities were willing to accept the admission of non-cancer patients under the assumption that hospitalization costs would be covered by health care insurance to the same level as cancer patients. Our study highlighted the importance of the establishment of a health insurance system in which appropriate palliative care is available regardless of disease, the definition of admission criteria, and the establishment of a systematic educational program.

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Section: Discussionmentioning

confidence: 99%

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

Hamano¹,

Shima²,

Kizawa³

2023

Ann Palliat Med

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“…43,[45][46][47] These make it possible to use a range of innovative techniques for teaching and learning (such as simulation), as well as providing targeted and potentially good quality information and support to patients, families, and the public: the Canadian virtual hospice is one example. 13,48 One innovative review examined 42 studies reporting clinical outcomes on leading contemporary social media use (i.e., Facebook, Twitter, Wikipedia, YouTube) in 10 chronic diseases, many giving rise to palliative care needs. 49 Its findings suggest that, overall, the impact of social media on chronic disease is variable, with 48% of studies indicating benefit, 45% neutral or undefined, and 7% suggesting harm.…”

Section: Palliative Care Campaigns S-31mentioning

confidence: 99%

The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care

Seymour

2018

Journal of Palliative Medicine

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Objective: The right to health includes a right of access to good quality palliative care, but inequalities persist. Raising awareness is a key plank of the public health approach to palliative care, but involves consideration of subjects most of us prefer not to address. This review addresses the question: ''do public health awareness campaigns effectively improve the awareness and quality of palliative care''? Background: The evidence shows that public awareness campaigns can improve awareness of palliative care and probably improve quality of care, but there is a lack of evidence about the latter. Methods: Rapid review and synthesis. Results: A comprehensive public awareness campaign about palliative care (including advance care planning and end-of-life decision making) should be based on clear and shared terminology, use well piloted materials, and the full range of mass media to suit different ages, cultures, and religious/spiritual perspectives. Arts and humanities have a role to play in allowing individuals and communities to express experiences of illness, death, and grief and encourage conversation and thoughtful reflection. There is evidence about key factors for success: targeting, networking, and use of specific, measurable, achievable, realistic time-bound objectives; continuous evaluation; and complementarity to national and international policy. Discussion: Campaigns should be located within the framework of public health promotion and the synergy between short national mass media campaigns and longer term local community action initiatives carefully considered. National and local projects to raise awareness should identify and address any barriers at the level of individuals, communities, and systems of care, for example, literacy skills and unequal access to resources.

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“…The model of the "e-hospice" or virtual hospice has been shown to be of benefit to patients and carers. [45][46][47] A virtual hospice provides support and personalized information about palliative and end-of-life care to patients, family members, HCPs, researchers, and educators in a web-based format. One example is the Canadian Virtual Hospice (http://www.…”

Section: Patient-focused Perspectivesmentioning

confidence: 99%

“…virtualhospice.ca/). 47 The Canadian Virtual Hospice went online in February 2004 with evidence-based information and an e-health pioneering feature called "Ask a Professional".…”

Section: Patient-focused Perspectivesmentioning

confidence: 99%

Palliative home-based technology from a practitioner's perspective: benefits and disadvantages

Johnston¹

2014

SHTT

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This critical review paper explores the concept of palliative home-based technology from a practitioner's perspective. The aim of the critical review was to scope information available from published and unpublished research on the current state of palliative home-based technology, practitioner-focused perspectives, patient-focused perspectives, quality of life, and the implications for clinical practice. Published and unpublished studies were included. An example of one UK patient-centered home-based technology is explored as an exemplar. The evidence suggests that despite the challenges, there are numerous examples of good practice in relation to palliative home-based technology. Improvements in technology mean that telehealth has much to offer people being cared for at home with palliative needs. However, some of the evaluative evidence is limited, and further rigor is needed when evaluating future technologybased solutions innovations.

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Canadian Virtual Hospice

Cited by 5 publications

References 1 publication

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care

Palliative home-based technology from a practitioner's perspective: benefits and disadvantages

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Canadian Virtual Hospice

Cited by 5 publications

References 1 publication

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

Current situation and support need for non-cancer patients’ admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey

The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care

Palliative home-based technology from a practitioner&#39;s perspective: benefits and disadvantages

Contact Info

Product

Resources

About

Palliative home-based technology from a practitioner's perspective: benefits and disadvantages