Clark, J., Barnes, A.J. orcid.org/0000-0002-8122-9792 and Gardiner, C. orcid.org/0000-0003-1785-7054 (2018) Reframing global palliative care advocacy for the sustainable development goal era: A qualitative study of the views of international palliative care experts. Journal of Pain and Symptom Management, 56 (3). pp. 363-370. ISSN 0885-3924
Abstract
Context The World Health Assembly Palliative Care Resolution in 2014 and the inclusion of palliative care within the sustainable development goals raised optimism that palliative care would no longer be a peripheral aspect of global health. However, no funding, accountability measures, or indicators for palliative care development accompanied these policy developments. This risks health actors continuing to prioritize the attainment of better known target-driven aspects of health care.
Objectives To explore the attitudes of international palliative care experts regarding how the future development of palliative care can be accelerated.
Methods About 16 international palliative care experts were interviewed for their epistemic expertise. Participants were interviewed face to face or via Skype. Interviews were recorded, transcribed nonverbatim, and analyzed using a thematic approach (NVivo).
Results Participants strongly supported the rollout of national palliative care policies around the world for two reasons: to ensure palliative care attracts national funding streams and to attract global funding for palliative care. The absence of a global indicator for palliative care development was considered a severe impediment to the inclusion of palliative care within global efforts toward universal health care. Advocacy partnerships, using human rights approaches with economic frames, were considered the most effective methods of influencing policymakers.
Conclusion Palliative care represents a value proposition that is not currently being maximized by advocacy. Advocates should consider palliative care developmentally, focusing on key asks for development and consider how palliative care can contribute to other international development priorities, in particular poverty reduction.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine. This is an author produced version of a paper subsequently published in Journal of Pain and Symptom Management. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Palliative care; public health; universal health coverage; sustainable development goals; advocacy |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Nursing and Midwifery (Sheffield) The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 20 Jun 2018 11:29 |
Last Modified: | 31 Mar 2021 16:00 |
Published Version: | https://doi.org/10.1016/j.jpainsymman.2018.06.009 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.jpainsymman.2018.06.009 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:132289 |