Surgical Care Services in inaccessible zones: Targeted Palliative Care Accessibility Models for patients in resource‐limited settings

Pritik A. Shah and Marcos Roberto Tovani‐Palone

International Journal of Health Planning and Management, 2022, vol. 37, issue S1, 243-249

Abstract: The coronavirus disease 2019 (COVID‐19) pandemic has caused a paradigm shift in the cancer care landscape, shifting from a palliative care approach to a need‐based approach. In these current and upcoming future times, patient‐ and community‐centred research becomes the cornerstone of collaborative assessment efforts for understanding and assessing Targeted Palliative Care (TPC) Accessibility Models for patients with oncological malignancies in resource‐limited settings. This short communication focuses on the models available for TPC for the continuation of care in oncological settings in resource‐limited geographic areas. Some programmes have used a Mixed Method Approach, highlighting their importance based on engagement volunteers and building trust and relationships in the community. Other studies have addressed the care system using a Rural Palliative Supportive Service Model for older adults living with life‐limiting chronic illness, showing that home‐based treatment for this population is feasible. Moreover, the Home Palliative Care Units (HPCU) model showed promising results in that patients cared for by HPCU had a fewer emergency visits and hospital admissions, in addition to being more likely to die at home with adequate palliation. During the ongoing pandemic, patients have experienced rapid clinical decline, requiring urgent conversations about their care wishes. They have been forced to make decisions on so‐called ‘Life and death’ issues. In this article we discuss the advantages, disadvantages, and possible changes implemented in the context of cancer surgical care in resource‐limited settings, in order to create a better assessment of geographic or demographic‐based, patient‐ and community‐centred TPC accessibility models for a more holistic development of cancer care programs.

Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1002/hpm.3580

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:bla:ijhplm:v:37:y:2022:i:s1:p:243-249

Ordering information: This journal article can be ordered from
http://www.blackwell ... bs.asp?ref=0749-6753

Access Statistics for this article

International Journal of Health Planning and Management is currently edited by Calum Paton

More articles in International Journal of Health Planning and Management from Wiley Blackwell
Bibliographic data for series maintained by Wiley Content Delivery ().