Skip to main content
Erschienen in: Current Oncology Reports 6/2021

01.06.2021 | Palliative Medicine (A Jatoi, Section Editor)

Organizational Strategies for Providing Cancer Palliative Care to Many

verfasst von: Arunangshu Ghoshal, Anuja Damani, Jayita Deodhar, Mary Ann Muckaden

Erschienen in: Current Oncology Reports | Ausgabe 6/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Hospitals and healthcare organizations are today operating in an extremely competitive environment, with increasing pressure to improve quality while reducing costs. In responding to this dynamic situation, transformation of any organization requires the will to organize delivery around the needs of patients.

Recent Findings

Providing palliative care to the many who require it needs the value agenda to be formulated based on mutually reinforcing components. Here we present an overview of the framework for a palliative care department in a comprehensive cancer center, which includes different levels that are embedded within a comprehensive system. Detailed information on each level is presented, followed by a discussion of quality of care, as an integrating theme for the framework.

Summary

The chapter concludes by detailing the benefits that a comprehensive cancer palliative care center provides to a country’s healthcare efforts through service, education, research, and advocacy.
Literatur
1.
Zurück zum Zitat International Atomic Energy Agency (IAEA). Inequity in cancer care: a global perspective. 2011. International Atomic Energy Agency (IAEA). Inequity in cancer care: a global perspective. 2011.
2.
Zurück zum Zitat Hui D, Bruera E. Integrating palliative care into the trajectory of cancer care. Nat Rev Clin Oncol. 2016;13:159–71.CrossRef Hui D, Bruera E. Integrating palliative care into the trajectory of cancer care. Nat Rev Clin Oncol. 2016;13:159–71.CrossRef
4.
Zurück zum Zitat Knaul FM. The global cancer divide: an equity imperative. Closing cancer divid. an equity imp. 2012. Knaul FM. The global cancer divide: an equity imperative. Closing cancer divid. an equity imp. 2012.
5.
Zurück zum Zitat Aldridge MD, Hasselaar J, Garralda E, van der Eerden M, Stevenson D, McKendrick K, et al. Education, implementation, and policy barriers to greater integration of palliative care: a literature review. Palliat Med. 2016;30:224–39.CrossRef Aldridge MD, Hasselaar J, Garralda E, van der Eerden M, Stevenson D, McKendrick K, et al. Education, implementation, and policy barriers to greater integration of palliative care: a literature review. Palliat Med. 2016;30:224–39.CrossRef
7.
Zurück zum Zitat Lynch T, Connor S, Clark D. Mapping levels of palliative care development: a global update. J Pain Symptom Manag. 2013;45:1094–106.CrossRef Lynch T, Connor S, Clark D. Mapping levels of palliative care development: a global update. J Pain Symptom Manag. 2013;45:1094–106.CrossRef
8.
Zurück zum Zitat •• Prinja S, Downey LE, Gauba VK, Swaminathan S. Health technology assessment for policy making in india: current scenario and way forward. Pharmacoecon Open. 2018;2:1–3 The Government of India is in the process of establishing a medical technology assessment board, which will be the central agency for undertaking Health Technology Assessment in India. HTA works for utilizing health economic principles to comparatively assess evidence for cost, clinical effectiveness, safety, and equity to provide evidence as to whether an intervention is a cost-effective investment within a given health system and to assist in the prioritization of health resources.CrossRef •• Prinja S, Downey LE, Gauba VK, Swaminathan S. Health technology assessment for policy making in india: current scenario and way forward. Pharmacoecon Open. 2018;2:1–3 The Government of India is in the process of establishing a medical technology assessment board, which will be the central agency for undertaking Health Technology Assessment in India. HTA works for utilizing health economic principles to comparatively assess evidence for cost, clinical effectiveness, safety, and equity to provide evidence as to whether an intervention is a cost-effective investment within a given health system and to assist in the prioritization of health resources.CrossRef
9.
Zurück zum Zitat Elsayem A, Swint K, Fisch MJ, Palmer JL, Ready S, Walker P, et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol. 2004;22:2008–14.CrossRef Elsayem A, Swint K, Fisch MJ, Palmer JL, Ready S, Walker P, et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol. 2004;22:2008–14.CrossRef
10.
Zurück zum Zitat Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines. Potential benefits, limitations, and harms of clinical guidelines. Br Med J. 1999;318:527–30.CrossRef Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines. Potential benefits, limitations, and harms of clinical guidelines. Br Med J. 1999;318:527–30.CrossRef
11.
Zurück zum Zitat 9th annual conference on evidence based management of cancers in India. 2011. 2010291 9th annual conference on evidence based management of cancers in India. 2011. 2010291
13.
Zurück zum Zitat •• Macrae MC, Fazal O, O’Donovan J. Community health workers in palliative care provision in low-income and middle-income countries: a systematic scoping review of the literature. BMJ Glob Health. 2020. https://doi.org/10.1136/bmjgh-2020-002368Community health workers have important roles in the provision of palliative care in Low Middle Income Countries. From the 13 studies included in this review, CHWs appear to have a role in raising awareness and identifying individuals requiring palliative care in the community, therapeutic management of pain, holistic home-based care delivery and visitation, and provision of psychological support and spiritual guidance. •• Macrae MC, Fazal O, O’Donovan J. Community health workers in palliative care provision in low-income and middle-income countries: a systematic scoping review of the literature. BMJ Glob Health. 2020. https://​doi.​org/​10.​1136/​bmjgh-2020-002368Community health workers have important roles in the provision of palliative care in Low Middle Income Countries. From the 13 studies included in this review, CHWs appear to have a role in raising awareness and identifying individuals requiring palliative care in the community, therapeutic management of pain, holistic home-based care delivery and visitation, and provision of psychological support and spiritual guidance.
17.
Zurück zum Zitat Berkman C, Stein GL, Glajchen M. Palliative and end-of-life care. Health and Social Work: Practice, Policy, and Research. 2018;145–168. Berkman C, Stein GL, Glajchen M. Palliative and end-of-life care. Health and Social Work: Practice, Policy, and Research. 2018;145–168.
18.
21.
22.
Zurück zum Zitat Stone PW. Integration of infection management and palliative care in nursing homes: an understudied issue. Res Gerontol Nurs. 2017;10:199–204.CrossRef Stone PW. Integration of infection management and palliative care in nursing homes: an understudied issue. Res Gerontol Nurs. 2017;10:199–204.CrossRef
24.
Zurück zum Zitat • Rajagopal MR. Methadone is now available in India: is the long battle over? Indian J Palliat Care. 2018. https://doi.org/10.4103/IJPC.IJPC_201_17Morphine and fentanyl had so far been the only available opioids in India in step three of the World Health Organization analgesic ladder. Especially for those not tolerating morphine and particularly for those developing neurotoxicity, an inexpensive alternative, Methadone is available for sale in India for pain management. However, the characteristic pharmacokinetics and pharmacodynamics of methadone raise careful usage. • Rajagopal MR. Methadone is now available in India: is the long battle over? Indian J Palliat Care. 2018. https://​doi.​org/​10.​4103/​IJPC.​IJPC_​201_​17Morphine and fentanyl had so far been the only available opioids in India in step three of the World Health Organization analgesic ladder. Especially for those not tolerating morphine and particularly for those developing neurotoxicity, an inexpensive alternative, Methadone is available for sale in India for pain management. However, the characteristic pharmacokinetics and pharmacodynamics of methadone raise careful usage.
Metadaten
Titel
Organizational Strategies for Providing Cancer Palliative Care to Many
verfasst von
Arunangshu Ghoshal
Anuja Damani
Jayita Deodhar
Mary Ann Muckaden
Publikationsdatum
01.06.2021
Verlag
Springer US
Erschienen in
Current Oncology Reports / Ausgabe 6/2021
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-021-01061-7

Weitere Artikel der Ausgabe 6/2021

Current Oncology Reports 6/2021 Zur Ausgabe

Gynecologic Cancers (J Brown and RW Naumann, Section Editors)

Immunotherapy in Cervical Cancer

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.