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Service change and innovation in community end-of-life care during the COVID-19 pandemic : qualitative analysis of a nationwide primary care survey
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Mitchell, Sarah, Harrison, Madeleine, Oliver, Phillip, Gardiner, Clare, Chapman, Helen, Khan, Dena, Boyd, Kirsty, Dale, Jeremy, Barclay, Stephen and Mayland, Catriona R (2022) Service change and innovation in community end-of-life care during the COVID-19 pandemic : qualitative analysis of a nationwide primary care survey. Palliative Medicine, 36 (1). pp. 161-170. doi:10.1177/02692163211049311 ISSN 0269-2163.
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WRAP-Service-change-and-innovation-in-community-end-of-life-care-during-the-COVID-19-pandemic-Dale-22.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (385Kb) | Preview |
Official URL: http://dx.doi.org/10.1177/02692163211049311
Abstract
Background:
Primary healthcare teams (general practice and community nursing services) within the United Kingdom provided the majority of community end-of-life care during COVID-19, alongside specialist palliative care services. As international healthcare systems move to a period of restoration following the first phases of the pandemic, the impact of rapidly-implemented service changes and innovations across primary and specialist palliative care services must be understood.
Aim:
To provide detailed insights and understanding into service changes and innovation that occurred in UK primary care to deliver end-of-life care during the first phase of the COVID-19 pandemic.
Design:
Cross-sectional online survey. Responses were analysed using descriptive statistics and thematic analysis.
Setting/participants:
United Kingdom survey of general practitioners and community nurses, circulated via regional and national professional networks.
Results:
A total of 559 valid responses were received from 387 community nurses, 156 general practitioners and 16 ‘other’. Over a third of respondents (n = 224; 40.8%) experienced changes in the organisation of their team in order to provide end-of-life care in response to the COVID-19 pandemic. Three qualitative themes were identified: COVID-19 as a catalyst for change in primary palliative care; new opportunities for more responsive and technological ways of working; and pandemic factors that improved and strengthened interprofessional collaboration.
Conclusion:
Opportunity has arisen to incorporate cross-boundary service changes and innovations, implemented rapidly at the time of crisis, into future service delivery. Future research should focus on which service changes and innovations provide the most benefits, who for and how, within the context of increased patient need and complexity.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Academic Primary Care Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | COVID-19 Pandemic, 2020-, Primary health care, Family medicine, Physicians (General practice), Primary care (Medicine), Palliative treatment, Terminal care | |||||||||
Journal or Publication Title: | Palliative Medicine | |||||||||
Publisher: | Sage | |||||||||
ISSN: | 0269-2163 | |||||||||
Official Date: | 1 January 2022 | |||||||||
Dates: |
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Volume: | 36 | |||||||||
Number: | 1 | |||||||||
Page Range: | pp. 161-170 | |||||||||
DOI: | 10.1177/02692163211049311 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 8 August 2022 | |||||||||
Date of first compliant Open Access: | 11 August 2022 | |||||||||
RIOXX Funder/Project Grant: |
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