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    Early Admission to Community-Based Palliative Care Reduces Use of Emergency Departments in the Ninety Days before Death

    Access Status
    Fulltext not available
    Authors
    McNamara, Beverley
    Rosenwax, Lorna
    Murray, Kevin
    Currow, D.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    McNamara, Beverley A. and Rosenwax, Lorna K. and Murray, Kevin and Currow, David C. 2013. Early Admission to Community-Based Palliative Care Reduces Use of Emergency Departments in the Ninety Days before Death. Journal of Palliative Medicine. 16 (7): pp. 774-779.
    Source Title
    Journal of Palliative Medicine
    DOI
    10.1089/jpm.2012.0403
    ISSN
    1096-6218
    URI
    http://hdl.handle.net/20.500.11937/23098
    Collection
    • Curtin Research Publications
    Abstract

    Background: Overcrowded emergency departments (EDs) and the staff within them are often not able to address the complex physical and psychosocial needs of people at the end of life. While some studies have suggested that the ED environment should be adapted and staff trained to address this issue, there are no previous studies which have investigated whether the provision of timely palliative care services could prevent people with palliative care needs from attending EDs. Objective: This study investigates whether early admission to community-based palliative care reduces ED admissions in the last 90 days of life for patients with cancer. Methods: The study was a retrospective, cross-sectional study using death registrations and hospital morbidity data for 746 Western Australian adults who died of cancer and where palliative care may have been a viable and appropriate option for care. Results: In their final 90 days before death, 31.3% of decedents who had early access to palliative care and 52.0% of those who did not have early access to palliative care visited an ED (OR=2.86; 95% CI, 1.91, 4.30). Early admission to community-based palliative care reduces the use of EDs by cancer patients in the 90 days before death. Conclusions: Proactive care in the form of timely community-based palliative care assists in preventing vulnerable people at the end of life from being exposed to the stressful ED environment and decreases the pressure on EDs.

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