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The impact of Covid-19 pandemic on hospices : a systematic integrated review and synthesis of recommendations for policy and practice
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Langen-Datta, Shalene, Wesson, Helen, Flemming, Joanna, Eccles, Abi, Grimley, Catherine, Dale, Jeremy, Almack, Kathryn, Mayland, Catriona, Mitchell, Sarah, Driscoll, Ruth, Tatnell, Lynn, Roberts, Lesley and MacArtney, John I. (2023) The impact of Covid-19 pandemic on hospices : a systematic integrated review and synthesis of recommendations for policy and practice. AMRC Open Research, 4 (23). doi:10.12688/amrcopenres.13105.2
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WRAP-The-impact-of-Covid-19-pandemic-on-hospices-a-systematic-integrated-review-and-synthesis-of-recommendations-for-policy-and-practice-MacArtney-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (981Kb) | Preview |
Official URL: https://doi.org/10.12688/amrcopenres.13105.2
Abstract
Background: The Covid-19 pandemic resulted in the development of numerous recommendations for practice and policy for specialist palliative care provided by hospices in United Kingdom (UK), as hospices were significantly affected by the pandemic and protections put in place.
The aim of this review is to identify and synthesise recommendations or implications for policy and practice that have been generated for adult hospice specialist palliative care during the first 24 months of the Covid-19 pandemic.
Methods: AMED, BNI, CINAHL, EMBASE, EMCARE, HMIC, Medline, PsycINFO, PubMed databases were searched for peer-reviewed papers, as well as hand searches for grey literature. Literature relating to hospices and Covid-19 in the UK were included and a thematic synthesis of recommendations for hospice policy and practice was undertaken.
Results: 858 articles were identified with 12 meeting the inclusion criteria. Fifty-eight recommendations or implications were identified: 31 for policy, 27 for practice, and 10 covering both. Recommendations were organised under ten themes. There were several recommendations seeking to secure hospice resources to mitigate the short-term impact of the pandemic, as well as those focused on longer-term implications such as core funding. The impact of the pandemic on the quality of hospice care was the focus for numerous recommendations around improving integration of hospice care in the community, provision of bereavement support and better use of Advance Care Plans (ACP). However, there were significant gaps related to carer visitation in hospices, inequities of palliative care, or hospice-at-home services.
Conclusion: The Covid-19 pandemic and protections exposed several ongoing policy and practice needs, especially around hospice resources, while generating novel issues for hospices to address. Significant policy gaps remain to be addressed to mitigate the impact of the pandemic on the quality of hospice specialist palliative care.
| 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- -- Government policy -- Great Britain, Medical policy -- Great Britain, Hospices (Terminal care) -- Great Britain, Palliative care -- Great Britain | ||||||||
| Journal or Publication Title: | AMRC Open Research | ||||||||
| Publisher: | Association of Medical Research Charities | ||||||||
| ISSN: | 2517-6900 | ||||||||
| Official Date: | 5 January 2023 | ||||||||
| Dates: |
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| Volume: | 4 | ||||||||
| Number: | 23 | ||||||||
| Number of Pages: | 24 | ||||||||
| DOI: | 10.12688/amrcopenres.13105.2 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| Date of first compliant deposit: | 16 January 2023 | ||||||||
| Date of first compliant Open Access: | 16 January 2023 | ||||||||
| RIOXX Funder/Project Grant: |
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