The impact of a new public health approach to end-of-life care: A systematic review

被引:114
作者
Sallnow, Libby [1 ,2 ]
Richardson, Heather [3 ]
Murray, Scott A. [2 ]
Kellehear, Allan [4 ]
机构
[1] St Josephs Hosp, Mare St, London E8 4SA, England
[2] Univ Edinburgh, Edinburgh, Midlothian, Scotland
[3] St Christophers Hosp, London, England
[4] Univ Bradford, Bradford BD7 1DP, W Yorkshire, England
关键词
Palliative care; public health; health promotion; community engagement; impact; outcomes; PALLIATIVE CARE; PROMOTION; PROGRAM; COMMUNITIES; STRATEGY; HOSPICE; FRIENDS; PROJECT; WORKER; FAMILY;
D O I
10.1177/0269216315599869
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Communities play an increasingly significant role in their own health and social care, and evidence demonstrates the positive impact of this work on a range of health outcomes. Interest is building regarding the application of the principles of the new public health approach to those facing the end of life and their families and communities. Aim: To review the evidence relating to the impact of a new public health approach to end-of-life care, specifically as this applies to efforts to strengthen community action. Design: A systematic review employing narrative synthesis. Both meta-ethnography and the use of descriptive statistics supported analysis. Data sources: Eight databases (AMED, ASSIA, BiblioMap, CINAHL, Cochrane Reviews, EMBASE, MEDLINE and PsycINFO) were searched from the earliest record to March 2015 using set eligibility criteria. Results: Eight articles were included in the analysis. Three main themes emerged from the meta-ethnography: making a practical difference, individual learning and personal growth and developing community capacity. The quantitative findings mapped to the meta-ethnography and demonstrated that engaging communities can lead to improved outcomes for carers such as decreased fatigue or isolation, increase in size of caring networks and that wider social networks can influence factors such as place of death and involvement of palliative care services. Conclusion: Evidence exists for the impact of community engagement in end-of-life care. Impact assessment should be an integral part of future initiatives and policy makers should recognise that these approaches can influence complex issues such as carer support, community capacity, wellbeing and social isolation.
引用
收藏
页码:200 / 211
页数:12
相关论文
共 51 条
[1]  
Abel Julian, 2011, BMJ Support Palliat Care, V1, P129, DOI 10.1136/bmjspcare-2011-000068
[2]  
[Anonymous], 1986, HEALTH PROMOT, V1, P3
[3]  
[Anonymous], 2006, FINAL
[4]   Family and friends provide most social support for the bereaved [J].
Benkel, I. ;
Wijk, H. ;
Molander, U. .
PALLIATIVE MEDICINE, 2009, 23 (02) :141-149
[5]  
Blackburn H, 1983, J Public Health Policy, V4, P398, DOI 10.2307/3342219
[6]   What is the role of friends when contributing care at the end of life? Findings from an Australian population study [J].
Burns, Catherine M. ;
Abernethy, Amy P. ;
Leblanc, Thomas W. ;
Currow, David C. .
PSYCHO-ONCOLOGY, 2011, 20 (02) :203-212
[7]   Capture, Transfer, and Feedback of Patient-Centered Outcomes Data in Palliative Care Populations: Does It Make a Difference? A Systematic Review [J].
Etkind, Simon Noah ;
Daveson, Barbara A. ;
Kwok, Wingfai ;
Witt, Jana ;
Bausewein, Claudia ;
Higginson, Irene J. ;
Murtagh, Fliss E. M. .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2015, 49 (03) :611-624
[8]   The Catalonia World Health Organization Demonstration Project for Palliative Care Implementation: Quantitative and Qualitative Results at 20 Years [J].
Gomez-Batiste, Xavier ;
Caja, Carmen ;
Espinosa, Jose ;
Bullich, Ingrid ;
Martinez-Munoz, Marisa ;
Porta-Sales, Josep ;
Trelis, Jordi ;
Esperalba, Joaquim ;
Stjernsward, Jan .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2012, 43 (04) :783-794
[9]  
Greene A, 2011, PALLIAT MED
[10]   Building a compassionate community: developing an informed and caring workplace in response to employee bereavement [J].
Hall, Deborah ;
Shucksmith, Janet ;
Russell, Sarah .
BEREAVEMENT CARE, 2013, 32 (01) :4-10