2021
DOI: 10.1186/s12904-020-00700-3
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What makes palliative care needs “complex”? A multisite sequential explanatory mixed methods study of patients referred for specialist palliative care

Abstract: Background Specialist palliative care (SPC) providers tend to use the term ‘complex’ to refer to the needs of patients who require SPC. However, little is known about complex needs on first referral to a SPC service. We examined which needs are present and sought the perspectives of healthcare professionals on the complexity of need on referral to a hospice service. Methods Multi-site sequential explanatory mixed method study consisting of a case-n… Show more

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Cited by 32 publications
(51 citation statements)
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“… 35 There is certainly evidence that, at end-of-life, current and lifetime experiences of social inequities can compound suffering. 35 , 36 As Finucane and colleagues 37 argue, social needs relate to factors such as social isolation, caring responsibilities, housing concerns, or family/carer support needs, discussed further towards the end of this article.…”
Section: Impact Of Lifetime Poverty and Health Inequities On ‘Total Pain’ At The End Of Lifementioning
confidence: 97%
“… 35 There is certainly evidence that, at end-of-life, current and lifetime experiences of social inequities can compound suffering. 35 , 36 As Finucane and colleagues 37 argue, social needs relate to factors such as social isolation, caring responsibilities, housing concerns, or family/carer support needs, discussed further towards the end of this article.…”
Section: Impact Of Lifetime Poverty and Health Inequities On ‘Total Pain’ At The End Of Lifementioning
confidence: 97%
“… 8 , 9 Although there is no standard definition of complex needs in palliative care, it is recognized that they can affect different domains, that is, physical, psychological, social or spiritual/existential. 10 Despite the fact that the need for timely integration of services has been recognized, research shows that these services are often initiated only shortly before death (e.g. the median number of days ranged from 15 in Belgium to 30 in Italy in a four-country comparison).…”
Section: Introductionmentioning
confidence: 99%
“…Spiritual needs are common in cancer patients [13] and have been demonstrated to be correlated with cancer patients' QoL [14,15]. Unmet spiritual needs increase the physical and psychological symptoms of patients and reduce the effect of treatment and rehabilitation, leading to adverse prognoses such as depressive symptoms [15].…”
Section: Introductionmentioning
confidence: 99%
“…Unmet spiritual needs increase the physical and psychological symptoms of patients and reduce the effect of treatment and rehabilitation, leading to adverse prognoses such as depressive symptoms [15]. In addition, failure to meet spiritual needs is associated with impaired physical, emotional, psychological, social, and spiritual well-being in cancer patients [14]. A literature review suggested that the spiritual needs of cancer patients increase as a disease progresses [16] and that most patients report less spiritual care provided by health care providers than desired or even an unavailability of spiritual care [14,15,17].…”
Section: Introductionmentioning
confidence: 99%
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