ArticlePalliative medicine2018
How are physicians delivering palliative care? A population-based retrospective cohort study describing the mix of generalist and specialist palliative care models in the last year of life.
Article in Palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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.
The trial behind it
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
46 citing papers in PubMed, 95 citations in OpenAlex.
- Association Between Team-Based Continuity of Care Measures and End-of-Life Health Care Outcomes: A Retrospective Cohort Study in Ontario, Canada.Medical care · 2026Article
- Palliative Care Delivery in the Last Year of Life among Ethnically South Asian Canadians in Ontario, Canada.Journal of immigrant and minority health · 2026Article
- Defining palliative care service capability: a scoping review to support quality improvement and benchmarking.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- The role and position of palliative care nurses within the Dutch healthcare system: a mixed-methods study.BMC nursing · 2025Article
- Article
- General practice utilisation by Australian cancer patients in the last year of life.Family practice · 2025Article
- A National Quality Initiative to Improve Palliative Care Outcomes: Identifying Enabling Factors that Drive Quality Improvement.Palliative medicine reports · 2025Article
- The impact of area deprivation on access to and utilization of health services in the last year of life: A retrospective population-based cohort study.Palliative care and social practice · 2025Article
- Registry study of cardiovascular death in Sweden 2013-2019: Home as place of death and specialized palliative care are the preserve of a minority.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- A Comparison of Palliative Care Delivery between Ethnically Chinese and Non-Chinese Canadians in the Last Year of Life.Journal of general internal medicine · 2024Article
- Comprehensive geriatric assessment and palliative care.Aging medicine (Milton (N.S.W)) · 2024Review
- Specialized expertise among healthcare professionals in palliative care - A scoping review.BMC palliative care · 2024Article
- Generalist, specialist, or expert in palliative care? A cross-sectional open survey on healthcare professionals' self-description.BMC palliative care · 2024Article
- Primary care usage at the end of life: a retrospective cohort study of cancer patients using linked primary and hospital care data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Are We Consulting, Sharing Care, or Taking Over? A Conceptual Framework.Palliative medicine reports · 2024Article
- Observational
- Levels of Competence and Need for Continuing Education in Nonspecialist Palliative Care Settings-A Qualitative Study of Views from Finnish Health Care Professionals.Palliative medicine reports · 2024Article
- Building Palliative Care Capacity for Generalist Providers in the Community: Results From the Capaciti Pilot Education Program.The American journal of hospice & palliative care · 2023Article
- Family Physicians with Certificates of Added Competence in Palliative Care Contribute to Comprehensive Care in Their Communities: A Qualitative Descriptive Study.Palliative medicine reports · 2023Article
- Presuppositions, cost-benefit, collaboration, and competency impacts palliative care referral in paediatric oncology: a qualitative study.BMC palliative care · 2022Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo enable coordinated palliative care delivery, all clinicians should have basic palliative care skill sets ('generalist palliative care'). Specialists should have skills for managing complex and difficult cases ('specialist palliative care') and co-exist to support generalists through consultation care and transfer of care. Little information exists about the actual mixes of generalist and specialist palliative care.
aimTo describe the models of physician-based palliative care services delivered to patients in the last 12 months of life.
designThis is a population-based retrospective cohort study using linked health care administrative data. SETTING/
participantsPhysicians providing palliative care services to a decedent cohort in Ontario, Canada. The decedent cohort consisted of all adults (18+ years) who died in Ontario, Canada between April 2011 and March 2015 ( n = 361,951).
resultsWe describe four major models of palliative care services: (1) 53.0% of decedents received no physician-based palliative care, (2) 21.2% received only generalist palliative care, (3) 14.7% received consultation palliative care (i.e. care from both specialists and generalists), and (4) 11.1% received only specialist palliative care. Among physicians providing palliative care ( n = 11,006), 95.3% had a generalist palliative care focus and 4.7% a specialist focus; 74.2% were trained as family physicians.
conclusionWe examined how often a coordinated palliative care model is delivered to a large decedent cohort and identified that few actually received consultation care. The majority of care, in both the palliative care generalist and specialist models, was delivered by family physicians. Further research should evaluate how different models of care impact patient outcomes and costs.
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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.