What do we know about different models of providing palliative care? Findings from a systematic review of reviews

Abstract

Article:Brereton, L., Clark, J., Ingleton, C. orcid.org/0000-0001-5489-1089 et al. (4 more authors) (2017) What do we know about different models of providing palliative care? Findings from a systematic review of reviews. Palliative Medicine. ISSN 0269-2163 https://doi.org/10.1177/0269216317701890 eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Review of models of palliative care1 What is already known about the topic? 1  Globally, as demand for palliative care is increasing amongst those with life-limiting illnesses, 2 there has been a rapid growth in specialist and generalist palliative care service provision with a 3 range of different of models of palliative care service provision being developed and 4 implemented internationally. 5 The published evidence has been synthesised in a number of reviews which have attempted to 6 identify the effectiveness and cost effectiveness of different models of palliative care. 7 There is no comprehensive overview of the current evidence base to support decision-making 8 based on the advantages and disadvantages of different models of palliative care or to identify 9 any gaps in the evidence base where more primary research is needed. 10What this paper adds? 11 The outcomes measured vary considerably, making meta-analysis impossible. None-the-less, 12 the available evidence indicates that irrespective of setting or patient characteristics, models of 13 palliative care appear to show benefits for patients and their carers, with no evidence for 14 negative effects. Some models of palliative care may reduce total healthcare costs.

Effectiveness of palliative care interventions offering social support to people with life-limiting illness-A systematic review

“…This meant that well‐established examples of community‐based support programmes, for example the Good Neighbourhood Partnership in Ireland (McLoughlin, Rhatigan, et al., ) and the Neighbourhood Network in India (Sallnow, Kumar, & Numpeli, ), were excluded from the review. However, models of home‐based palliative care (which may or may not include facilitation of social support) are better represented than other settings in the research literature (Brereton et al., ), and we are aware of an ongoing systematic review of community‐led support interventions for adults living at home with palliative care needs (Mcloughlin, Furlong, et al., ). An additional consideration is the increasing availability of different formats, for example social networking interventions (Owen, Bantum, Pagano, & Stanton, ).…”

What role do Death Doulas play in end‐of‐life care? A systematic review

“…We suggest that many of the problems highlighted here-the shift in family carers' ability to manage end of life (Martín Martín, Olano-Lizarraga, & Saracíbar-Razquin, 2016), the gaps in community and healthcare (Lam et al, 2017) as well as fragmentation of palliative care provision (Phongtankuel et al, 2018) are global issues rather than just those affecting care at the end of life in Australia. The death doula role may provide a way of changing the way in which end-of-life care models are organised (Brereton et al, 2017).…”

A gap between the philosophy and the practice of palliative healthcare: sociological perspectives on the practice of nurses in specialised palliative homecare

“…They show that palliative care in the community gives patients and their families higher quality of life and care. In addition, it is less expensive than the traditional combination of homecare and hospital care as a result of decreasing the number of hospital admissions, shortening the length of hospital stays, and decreasing the frequency of emergency room consultations (Bainbridge et al 2017;Brereton et al 2017;Gomes et al 2013;Seow et al 2019). This article focuses on nurses and their work in specialised palliative homecare in respect of the philosophy of palliative care.…”

“…Palliative care is ideally provided by multidisciplinary teams, which include doctors, nurses, psychologists, physiotherapists, clinical pharmacists, occupational therapists, dieticians, and social workers etc. (Brereton et al 2017).…”