International journal of palliative nursing · 2026
Empowering end-of-life choices: evaluation of an innovative model of integrated palliative care.
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Hewage Gammanage Malkanthi, Fischer Amanda, Good Phillip
Аннотация
BACKGROUND: Recognising patients' preferences for end-of-life care and enabling people to die in their preferred location is critical to effective palliative care delivery.
AIM: To evaluate patients' end-of-life choices for death and consumer satisfaction with support provided.
METHODS: This single-centre, prospective, cohort study included patients that accessed a private health insurance funded community palliative care programme.
FINDINGS: Over 5 years (August 1, 2016 to July 31, 2021) of the 779 patients admitted to the community specialist palliative care service, 608 died. Among those who died, 39.5% died at home, 40.1% in an in-patient palliative care unit and 20.4% elsewhere. Overall, 85.7% achieved their preferred place of death, with high rates of adherence across different settings: 79.0% for home, 91.5% for in-patient palliative care unit and 100% for acute in-patient setting. Satisfaction with services was high.
CONCLUSIONS: Key components to achieving a high preferred place of death include enhanced in-home support, case-managed community specialist palliative care and dedicated access to multidisciplinary team members.
AIM: To evaluate patients' end-of-life choices for death and consumer satisfaction with support provided.
METHODS: This single-centre, prospective, cohort study included patients that accessed a private health insurance funded community palliative care programme.
FINDINGS: Over 5 years (August 1, 2016 to July 31, 2021) of the 779 patients admitted to the community specialist palliative care service, 608 died. Among those who died, 39.5% died at home, 40.1% in an in-patient palliative care unit and 20.4% elsewhere. Overall, 85.7% achieved their preferred place of death, with high rates of adherence across different settings: 79.0% for home, 91.5% for in-patient palliative care unit and 100% for acute in-patient setting. Satisfaction with services was high.
CONCLUSIONS: Key components to achieving a high preferred place of death include enhanced in-home support, case-managed community specialist palliative care and dedicated access to multidisciplinary team members.