ArticleJournal of the Royal Society of Medicine2004
Community hospitals: an under-recognized resource for palliative care.
Article in Journal of the Royal Society of Medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Appraisal of literature reviews on end-of-life care for minority ethnic groups in the UK and a critical comparison with policy recommendations from the UK end-of-life care strategy.BMC health services research · 2011Pooled it
- Preferences and priorities to manage clinical uncertainty for older people with frailty and multimorbidity: a discrete choice experiment and stakeholder consultations.BMC geriatrics · 2021Observational
- Characteristics and mortality rates among patients requiring intermediate care: a national cohort study using linked databases.BMC medicine · 2021Article
- Be known, be available, be mutual: a qualitative ethical analysis of social values in rural palliative care.BMC medical ethics · 2011Article
- Palliative care in chronic obstructive pulmonary disease: a review for clinicians.Journal of the Royal Society of Medicine · 2007Review
- Poor access to care: rural health deprivation?The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Palliative care in community hospitals.Journal of the Royal Society of Medicine · 2005Article
- Home or hospital? Choices at the end of life.Journal of the Royal Society of Medicine · 2004Article
Corrections and comments
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the UK there are concerns that, in certain groups of dying patients such as the old, those with non-cancer diagnoses and those in rural areas, the quality of care is unacceptably variable. There has been no systematic survey of the extent to which community hospitals provide general palliative care for such patients. Therefore, by means of a structured questionnaire we asked senior nurses/managers at all 478 community hospitals in the UK for information on staff expertise, facilities and specialist equipment, liaison arrangements with specialist palliative care providers, priorities, practice and policy in end-of-life care. Of the 346 hospitals (72%) that responded, only 28 were in urban areas. 73% of hospitals employed at least one nurse with additional training in palliative care, 72% had access to 24-hour specialist palliative care advice and 51% had separate overnight accommodation for relatives, but only 22% had designated palliative care beds. Most hospitals did not have written policies or guidelines for patient assessment or symptom control. These findings add to evidence that community hospitals represent an important resource to improve access to palliative care for groups that are currently under-served.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.