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The Netherlands has a nationwide system of palliative care consultation services, that is predominantly used by general practitioners for patients staying at home [ 30– 30].
There has also been an emphasis in higher income countries on developing children's palliative care clinical networks and an integrated system of palliative care to optimize service delivery and organisation [ 19- 21].
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Recently, palliative care experts were asked to score the relevance and usability of different quality indicators for national healthcare systems' organization of palliative care for patients with cancer and dementia [ 28].
Although not all countries were represented (like France) and others were overrepresented (like the Netherlands), the experts covered 12 countries from three continents, covering different health care systems and types of organisation of palliative care.
They have replaced an economic system "of, for and by" the people with a greed-driven, jungle environment that offers only voluntary charity from the winners as a palliative for the losers.
These findings may help in planning the organisation of palliative care in health care systems.
This has largely been adhered to by the new 'Out of Hours' provider, b) demonstrating the need for a robust system of providing injectable palliative care drugs out of hours (including opioids).
It is a health system problem because, as noted, much research in palliative care has involved the organization and delivery of palliative care services [ 35].
It is disheartening but undeniable that the reality in the health care system leaves the high demands of palliative care only partly fulfilled.
This framework is based on existing models and principles of health system evaluation, explicit theory, consideration of the empirical literature on determinants and indicators of inter-professional collaboration, and previous evaluations of palliative care systems.
Information exchange within the out-of-hours system impacted strongly on GPs experiences of palliative care encounters and this was an area GPs felt passionate, some even emotional about, given some of the language used.
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CEO of Professional Science Editing for Scientists @ prosciediting.com