Evidence map›Paper›PMID 36210447›Full record

ArticleBMC palliative care2022

Charitably funded hospices and the challenges associated with the COVID-19 pandemic: a mixed-methods study (CovPall).

Ian W Garner, Catherine Walshe, Lesley Dunleavy, Andy Bradshaw, Nancy Preston, Lorna K Fraser, Fliss Em Murtagh, Adejoke O Oluyase, Katherine E Sleeman, Mevhibe Hocaoglu and 4 more

Erratum issuedAbstract read
In one paragraph

Article in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Ian W GarnerDivision of Health Research, Lancaster University, Lancaster, UK. i.garner2@lancaster.ac.uk.ORCID https://orcid.org/0000-0002-9349-5377
Catherine WalsheDivision of Health Research, Lancaster University, Lancaster, UK.ORCID https://orcid.org/0000-0002-4531-8608
Lesley DunleavyDivision of Health Research, Lancaster University, Lancaster, UK.ORCID https://orcid.org/0000-0002-5924-8145
Andy BradshawWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID https://orcid.org/0000-0003-1717-1546
Nancy PrestonDivision of Health Research, Lancaster University, Lancaster, UK.ORCID https://orcid.org/0000-0003-2659-2342
Lorna K FraserHealth Sciences, University of York, North Yorkshire, UK.ORCID https://orcid.org/0000-0002-1360-4191
Fliss Em MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID https://orcid.org/0000-0003-1289-3726
Adejoke O OluyaseCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0002-1506-7262
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0002-9777-4373
Mevhibe HocaogluCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0003-1417-7117
Sabrina BajwahCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0001-5338-8107
Rachel L ChambersCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0001-6945-5028
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0002-0189-0952
Irene J HigginsonCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0002-3687-1313

Funding

Medical Research Council MR/V012908/1
6 · The paper itself

Abstract

backgroundIndependent charitably funded hospices have been an important element of the UK healthcare response to the COVID-19 pandemic. Hospices usually have different funding streams, procurement processes, and governance arrangements compared to NHS provision, which may affect their experiences during the COVID-19 pandemic. The aim of this study is to understand the challenges faced by charitably funded hospices during the COVID-19 pandemic.

methodsEligible Organisations providing specialist palliative or hospice care completed the online CovPall survey (2020) which explored their response to the COVID-19 pandemic. Eligible organisations were then purposively selected to participate in interviews as part of qualitative case studies (2020-21) to understand challenges in more depth. Free-text responses from the survey were analysed using content analysis and were categorised accordingly. These categorisations were used a priori for a reflexive thematic analysis of interview data.

results143 UK independent charitably funded hospices completed the online CovPall survey. Five hospices subsequently participated in qualitative case studies (n = 24 staff interviews). Key themes include: vulnerabilities of funding; infection control during patient care; and bereavement support provision. Interviewees discussed the fragility of income due to fundraising events stopping; the difficulties of providing care to COVID-19 and non-COVID-19 patients within relatively small organisations; and challenges with maintaining the quality of bereavement services.

conclusionSome unique care and provision challenges during the COVID-19 pandemic were highlighted by charitably funded hospices. Funding core services charitably and independently may affect their ability to respond to pandemics, or scenarios where resources are unexpectedly insufficient.

Indexed as

COVID-19Hospice CareHospicesHumansPalliative CarePandemicsCharitably funded HospiceCOVID-19 PandemicFunding constraintsMixed-Methods Research

Identifiers

PMID36210447
PMCPMC9548425

What OpenQuestion holds

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Registered trials

None linked

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.