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Specialist paediatric palliative care services : what are the benefits?
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Mitchell, Sarah J., Morris, Andrew, Bennett, Karina, Sajid, Laiba and Dale, Jeremy (2017) Specialist paediatric palliative care services : what are the benefits? Archives of Disease in Childhood . doi:10.1136/archdischild-2016-312026 ISSN 0003-9888.
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WRAP-Specialist-palliative-services-benefits-Dale-2017.pdf - Accepted Version - Requires a PDF viewer. Download (908Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/archdischild-2016-312026
Abstract
Background The number of children and young people (CYP) living with life-limiting and life-threatening conditions is rising. Paediatric palliative care is a relatively new aspect of healthcare, the delivery of which is variable, with a wide range of healthcare and voluntary sector providers involved. Policy recommendations are for Specialist Paediatric Palliative Care (SPPC) services to be supported by a physician with specialist training.
Aim To examine the research evidence regarding the distinct benefits of SPPC services, with ‘Specialist Paediatric Palliative Care’ defined as palliative care services supported by a specialist physician.
Method Systematic review of studies of SPPC services published in English from 1980 to 2016. Keyword searches were carried out in medical databases (Cochrane, PubMed, EMBASE, CINAHL and AMED) and a narrative synthesis.
Results Eight studies were identified, most of which were retrospective surveys undertaken within single institutions; three were surveys of bereaved parents and three were medical notes reviews. Together they represented a heterogeneous body of low-level evidence. Cross-cutting themes suggest that SPPC services improve the quality of life and symptom control and can impact positively on place of care and family support.
Conclusions Current evidence indicates that SPPC services contribute beneficially to the care and experience of CYP and their families, but is limited in terms of quantity, methodological rigour and generalisability. Further research is necessary given the significant workforce and resource implications associated with policy recommendations about the future provision of SPPC and to address the need for evidence to inform the design and delivery of SPPC services.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Palliative treatment, Youth -- Medical care, Children -- Medical care, Systematic reviews (Medical research) | ||||||
| Journal or Publication Title: | Archives of Disease in Childhood | ||||||
| Publisher: | BMJ | ||||||
| ISSN: | 0003-9888 | ||||||
| Official Date: | 4 April 2017 | ||||||
| Dates: |
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| DOI: | 10.1136/archdischild-2016-312026 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 16 May 2017 | ||||||
| Date of first compliant Open Access: | 16 May 2017 | ||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||||
| Grant number: | DRF-2014-07-065 |
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