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The method comprises four phases: 1) a literature review identifying existing quality indicators, 2) a literature review and expert consultation to identify the important themes and domains for quality palliative care, 3) quality indicator selection by expert consultation following the internationally validated RAND method and 4) testing the draft quality indicator set in practice.
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By 2040, there will be about 100,000 more deaths per year, and with people dying of complex illnesses, there will be more demand for high quality palliative care.
But Dr David Nicholl, a consultant neurologist, told the BBC he was not aware of any financial targets connected to the pathway and that he believed hospitals were only concerned with getting more resources for good quality palliative care.
More research is needed to focus on the organization of palliative care and to establish indicators for high quality palliative care provided by the hospital.
Changing demographic trends including an ageing population, increased life expectancy for individuals living with life-limiting illnesses, and the impact of illness on individuals' physical, psychological and social wellbeing means that the demand for high quality palliative care services is expected to increase [ 1].
Applying the social marketing framework to the data will help order the analysis and generate future policy options for providing high quality Palliative care grounded in the empirical data.
10 On June 8 , 2010 a major report was issued by Senator Sharon Carstairs revealing ongoing problems with access to quality palliative care for Canadians.
Several studies have also developed QIs to improve the structures and process needed for the delivery of good quality palliative cancer or dementia care [ 11, 12, 17, 18].
This project trialed a strategy intended to support a consistent, high quality, palliative approach for people with dementia drawing close to death.
General practitioners (GPs) express their interests in being involved in high quality palliative care for all people aiming to stay at home in their last phase of life [ 3].
Therefore, the value of PC to nurses who deliver majority of care to chronically ill patients is unquestionable, and there is a need to support and educate nurses for the provision of high quality palliative and end-of-life care.
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