Evidence map›Paper›PMID 37023481›Full record

ArticleAustralian and New Zealand journal of public health2023

Considering community care in public health responses: A national study regarding palliative care during a prolonged coronavirus disease 2019 lockdown.

B A Daveson, M Blanchard, W R Davis, J Connolly, S Clapham, L William, M Kaltner, D C Currow, P Yates, K Clark and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Australian and New Zealand journal of public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

B A DavesonPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia. Electronic address: bdaveson@uow.edu.au.
M BlanchardPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
W R DavisPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
J ConnollyPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
S ClaphamPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
L WilliamEastern Health, Supportive & Palliative Care Services, VIC, 3152, Australia; Eastern Health Clinical School, Monash University, VIC, 3128, Australia; Public Health Palliative Care Unit, La Trobe University, VIC, 3086, Australia.
M KaltnerPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
D C CurrowPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia; IMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
P YatesPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia; Centre for Cancer and Palliative Care Outcomes, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
K ClarkPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
K EagarPalliative Care Outcomes Collaboration, Australian Health Services Research Institute, University of Wollongong, Australia.
University of Wollongong · AUMonash University · AUQueensland University of Technology · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe changes in palliative care characteristics, utilisation and outcomes in Victoria during a period of enhanced public health management and a prolonged lockdown due to coronavirus disease 2019.

methodsA national retrospective cohort study with palliative care service setting comparisons in Victoria and other mainland states was conducted.

resultsAnalysis of 48 non-Victorian services (n=53,428 patients) and 20 Victorian services (n=31,125 patients) showed that for community services, patient volume, average length of stay, functional dependency and the proportion of admissions in a deteriorating phase increased during the lockdown in Victoria, yet little changed in comparator states. Regarding inpatient services, the management of family/carer problems remained constant in comparator states, yet substantial fluctuations in outcomes in Victoria were observed.

conclusionsAs health systems adapt to changing circumstances during the pandemic, the ability to upscale community services is critical. Addressing the implications of shifting inpatient care to the community needs attention. IMPLICATIONS FOR PUBLIC HEALTH: Our study highlights the need to ensure community care providers are adequately considered within public health management responses. 'Joined up' policy and implementation across care settings are essential, especially as major barriers to infection control and increased utilisation may be evident in the community during the coronavirus disease 2019 pandemic.

Indexed as

Community Health ServicesCOVID-19Palliative CareCommunicable Disease ControlHealth PolicyHumansPandemicsPublic HealthRetrospective StudiesCOVID-19health policyhealth services researchpalliative carepublic health

Identifiers

PMID37023481
PMCPMC10071762
OpenAlexW4362637157

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.