Seymour, J. orcid.org/0000-0002-9384-2551 and Cassel, B. (2017) Palliative care in the USA and England: a critical analysis of meaning and implementation towards a public health approach. Mortality, 22 (4). pp. 275-290. ISSN 1357-6275
Abstract
Delivering optimal and equitable palliative care is an international challenge. There are few cross-national comparisons examining challenges in expanding palliative care along public health lines. This paper presents a critical review of palliative care in the USA and England, which share similar challenges but have different contexts of healthcare. Beyond some obvious differences in the organisation of palliative care, a set of underlying common issues can be identified. A key tension in both is balancing attention ‘downstream’ in the dying phase, as well as ‘upstream’ earlier in the course of serious illness. In both, the dominant models of palliative care provision have resulted in excellent care towards the end of life for some patients, but there remain major deficiencies in care for the majority. England has a National Strategy for End-of-life care; the US has no equivalent, although a number of influential agencies have published statements. Achieving a public health approach in palliative care requires international consensus on the meaning and target population of palliative care, replacement of prognosis based understandings of entitlement to palliative care with a needs-based approach and development of an evidence base for cost-effective partnerships between providers across the specialist–generalist divide.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Informa UK limited, trading as Taylor & Francis Group. This is an author produced version of a paper subsequently published in Mortality. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Palliative care; public health, hospice, end-of-life care; USa; England; policy; international comparisons |
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) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Jan 2017 11:09 |
Last Modified: | 30 Jun 2023 16:33 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/13576275.2016.1270262 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:109988 |