Brief Communication: Findings from a Canadian national workshop: Delays in transfers from acute care to a palliative care unit/hospice
Abstract
There is growing concern about the quality of end-of-life (EOL) care provided in acute care hospital settings in Canada, as there are more patients receiving EOL care in acute care hospitals than in any other healthcare setting (Ó Coimín et al., 2019). Dying in an acute care setting is a matter of national importance, and respecting a patient’s wish regarding their preferred place of death has become a central outcome measure of quality end-of-life care (Vidal et al., 2020). Furthermore, the Canadian healthcare system is functioning under significant strain and increasing occupancy pressures due, in part, to the overwhelming number of Canadians who continue to receive their EOL care in the acute hospital setting (Fraser, 2016).
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Bottoms, J., Nolen, A., Moore, J., Torabi, S., De Costa, S., Mays, H., & Stilos, K. (2022). Factors that delay transfers from acute care to a local palliative care unit. Healthcare Quarterly, 25(3), 36–41. https://doi.org/10.12927/hcq.2022.26943
Chakraborty, A. & Stilos, K. (2024). Palliative care consult team: Program evaluation over a 15-year period. Canadian Oncology Nursing Journal, 34(3), 431–438.
Fraser, J. (2016). Palliative & end of life care provincial roundtable report: A report from parliamentary assistant John Fraser to the Minister of Health and Long-term Care. Toronto: Queen’s Printer for Ontario: 2016. www.health.gov.on.ca/en/public/programs/palliative/pdf/palliative_report.pdf
Government of Canada (2023) The framework on palliative care in Canada—Five years later: A report on the state of Palliative care in Canada. https://www.canada.ca/en/health-canada/services/publications/health-system-services/framework-palliative-care-five-years-later.html#a1
Lau, C. Stilos, K., Nowell, A., Lau, F., Moore, J., Wynnychuk, L. (2017). The comfort measures order set at a tertiary care academic hospital: Is there a comparable difference in end-of-life care between patients dying in acute care when CMOS is utilized? American Journal of Hospice & Palliative Medicine, 1–12, https://doi.org/10.1177/1049909117734228
Ó Coimín, D., Prizeman, G., Korn, B., Donnelly, S., & Hyness, G. (2019). Dying in acute hospitals: voices of bereaved relatives. BMC Palliative Care, 18, 91. https://doi.org/10.1186/s12904-019-0464-z)
Quinn, K., Isenberg, S., & Downar, J. (2021). Expensive endings: Reining in the high cost of end of life care in Canada. C.D. Howe Institute. Commentary No. 608. https://www.cdhowe.org/public-policy-research/expensive-endings-reining-high-cost-end-life-care-canada
Vidal, M., Rodriguez-Nunez, A., Hui, D., Allo, J., Williams, J. L., Park, M., et al., (2022). Place-of-death preferences among patients with cancer and family caregivers in inpatient and outpatient palliative care. BMJ Supportive and Palliative Care. 12(e4), e501–04. https://doi.org/10.1136/bmjspcare-2019-002019
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