ArticleAfrican journal of primary health care & family medicine2019
Palliative care made visible: Developing a rural model for the Western Cape Province, South Africa.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Addressing the concept of total pain in palliative care: A postcolonial South African hospice view.Palliative & supportive care · 2025Article
- Doctors' knowledge, attitudes and practices of palliative care in two South African districts.African journal of primary health care & family medicine · 2024Observational
- Family practice research in the African region 2020-2022.African journal of primary health care & family medicine · 2024Review
- Palliative care in a rural subdistrict in South Africa: A 4-year critical review.African journal of primary health care & family medicine · 2024Review
- Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps.Frontiers in health services · 2024Review
- Improving palliative care outcomes in remote and rural areas of LMICs through family caregivers: lessons from Kazakhstan.Frontiers in public health · 2023Article
- The role of community health workers in palliative care in a rural subdistrict in South Africa.African journal of primary health care & family medicine · 2022Article
- Strengthening African health systems through outreach and support and values-driven leadership.African journal of primary health care & family medicine · 2021Article
- Evaluation of household assessment data collected by community health workers in Cape Town, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
- Beneficiary's Satisfaction with Primary Palliative Care Services in Kerala - A Cross-Sectional Survey.Indian journal of palliative careArticle
- The role of digital health in palliative care for people living with HIV in sub-Saharan Africa: A systematic review.Digital healthArticle
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Authors and funding
7 authors.
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Abstract
introductionCaring for people with life-threatening illnesses is a key part of working in health care. While South Africa launched the National Policy Framework and Strategy for Palliative Care 2017-2022, integrating palliative care into existing public health care is in its infancy. Most patients in the Western Cape have poor access to palliative care, an inequality felt hardest by those living in rural areas.Building the model: In 2018, with district wide institutional managerial support, a palliative care model for rural areas was initiated in the Western Cape. The process involved setting up hospital- and community-based multi-professional palliative care teams, initiating weekly palliative care ward rounds, training champions in palliative care and raising awareness of palliative care and its principles. DISCUSSION: Establishing regular ward rounds has changed the way patients needing palliative care are managed, particularly in challenging the mindsets of specialist departments. The emergence of the multi-professional team listening and planning together at the patient's bedside has restored some of the dignity and ethos of patient-centred care, which is a core principle of the provincial Health Care 2030 vision.
conclusionIn a short time period, we have managed to build a service that aims to improve care for palliative patients in rural areas. Its strength lies in a multi-professional patient-centred approach and improved communication between different components of the health system, providing a more seamless service that supports patients when they need it most.
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