A Public Health Perspective on End of Life Care

Paperback | February 17, 2012

EditorJoachim Cohen, Luc Deliens

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Worldwide, more than 50 million people die each year and it is estimated on the basis of the conditions leading to death that up to 60% of them could benefit from some form of palliative care. It is a public health challenge to ensure that these people can access good palliative or end-of-lifecare. Pursuing good population health essentially also implies striving for a "good enough death" and a good quality of care at the end of life. Safeguarding a good quality of the end of life for patient populations for whom it is appropriate requires a public health approach. In most developed countries ageing populations that increasingly die from chronic diseases after a prolonged - often degenerative - dying trajectory make up the public health challenges for palliative care. The very large baby boom generation will soon reach old age and can be expected to posestrong demands regarding the circumstances and care at their end of life. Only by applying a public health approach to palliative care (instead of individual patient perspectives), can societies successfully help to organize and plan end-of-life care in accordance with these aspirations.A Public Health Perspective on End of Life Care presents a synthesis and overview of relevant research and empirical data on the end of life that can bear a basis for a more systematic "public health of the end of life". The book focuses on population health, rather than clinical interventions orother aspects of individual health, and discusses studies using different methodologies (not only epidemiological research). The focus is on the quality of the end-of-life of populations, in particular from social sciences, environmental sciences, and humanities perspectives.

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Worldwide, more than 50 million people die each year and it is estimated on the basis of the conditions leading to death that up to 60% of them could benefit from some form of palliative care. It is a public health challenge to ensure that these people can access good palliative or end-of-lifecare. Pursuing good population health essen...

Joachim Cohen is with the End-of-life Care Research Group at Vrije Universiteit Brussel, Brussels, Belgium. Luc Deliens is with VU University Medical Center in the Department of Public and Occupational Health at EMGO and the Institute for Health and Care Research in Amsterdam, the Netherlands.

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Kobo ebook|Jun 1 2005

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Format:PaperbackDimensions:244 pages, 9.69 × 6.73 × 0.07 inPublished:February 17, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199599408

ISBN - 13:9780199599400

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Table of Contents

Part I: Introduction1. J. Cohen and L. Deliens: Applying a public health perspective in end-of-life carePart II: Clinical and Social Context of Death and Dying2. S.T. Tang and C.-H. Chen: Place of death and end-of-life care3. I Higginson: Circumstances of death and dying4. A. Van der Heide and J. Rietjens: End-of-life decisions5. K. Fassbender: Economic and health related consequences of individuals caring for terminally ill cancer patients in CanadaPart III: End-of-Life Care: Provision, Access, and Characteristics6. Wentlandt K. and C. Zimmerman: Aggressive treatment and palliative care at the end of life7. G. Grande: Access to palliative care8. L. Emanuel: Communication between patient and caregiverPart IV: End-of-Life Care Settings9. L. Van den Block: Palliative care in primary care10. J.T. Van der Steen, MR Helton, PD Sloane and MW Ribbe: Palliative care in institutional long-term care settings11. A.S. Kelley, DJ Fischberg and R.S. Morrison: Palliative care in hospitalsPart V: Inequalities at the End of Life: Underserved Groups12. J. Addington-Hall and K. Hunt: Non-cancer patients13. K. Brazil: Palliative care for the older adult14. K. Hexem and K. Feudtner: A public health framework for pediatric palliative and hospice care15. I. Tuffrey-Wijne, A. Wagemans and L. Curfs: End-of-life care for patients with intellectual disabilities16. D. Wilson and D. Mohankumar: End-of-life care for people who live in rural or remote areas versus those who live in urban areas17. J. Koffman: Social inequalities at the end of lifePart VI: End-of-Life Care Policies18. X. Gomez-Batiste, J. Espinosa, MP Gonzalez Olmedo, M Martinez-Munoz, C Lasmarias, A Novellas, E Beas, J Porta, J Trelis, C Calle and J Stjernsward: Design, implementation, and evaluation of palliative care programs and services with a public health who perspective19. J. Downing and R. Harding: Public health policy regarding end-of-life care in sub-Saharan Africa20. D. Clark: Palliative care in the global context: understanding policies to support end-of-life care21. A. Kellehear: The importance of family carers in end-of-life care: a public health approachPart VII: Conclusion22. L. Deliens and J. Cohen: Conclusions