2018
DOI: 10.1136/bmjspcare-2017-001424
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End-of-life care in the Western world: where are we now and how did we get here?

Abstract: We must question whether it is possible to hand death responsibilities back to the community when medical services have largely assumed this responsibility in countries supporting individualism, secularism and materialism.

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Cited by 4 publications
(2 citation statements)
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References 17 publications
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“…As well as changing social patterns, contemporary community models of care and palliative care models of care in many countries are often disparate and fragmented (Brereton et al, ), struggling to cope with demands, and while not all of those at the end of life require intervention from palliative care services, most if not all, will require support at home. With healthcare systems now increasingly overwhelmed, there appears to be a move back to its roots in the community (Gott et al, ), albeit a changed community, and one that may no longer necessarily adequately support its members at the end of life (Guilbeau, ).…”
Section: Introductionmentioning
confidence: 99%
“…As well as changing social patterns, contemporary community models of care and palliative care models of care in many countries are often disparate and fragmented (Brereton et al, ), struggling to cope with demands, and while not all of those at the end of life require intervention from palliative care services, most if not all, will require support at home. With healthcare systems now increasingly overwhelmed, there appears to be a move back to its roots in the community (Gott et al, ), albeit a changed community, and one that may no longer necessarily adequately support its members at the end of life (Guilbeau, ).…”
Section: Introductionmentioning
confidence: 99%
“…Despite evidence of a decrease in the number of people dying in hospital (Cross & Warraich, 2019; PHE, 2019), forecasters predict that ageing of the population and the provision of community‐based health and social care are likely to influence future nationwide trends (Finucane et al, 2019; Gomes & Higginson, 2008). In a historical review of EoLC in the Western world, Guilbeau (2018) also questions the ideology of a de‐institutionalised death in light of contemporary community characteristics and values. Consideration must therefore be given to the availability and quality of end‐of‐life service provision in a variety of settings, including institutional hospital care.…”
Section: Introductionmentioning
confidence: 99%