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Equity of access to adult hospice inpatient care within north-west England.

Wood, D. J. and Clark, D. and Gatrell, Anthony C. (2004) Equity of access to adult hospice inpatient care within north-west England. Palliative Medicine, 18 (6). pp. 543-549.

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    Abstract

    There is a growing debate about the question of equity of access to hospice and palliative care services. Even countries with relatively well developed palliative care systems are considered to have problems of access and inequity of provision. Despite these concerns, we still lack a relevant evidence base to serve as a guide to action. We present an analysis of access to adult hospice inpatient provision in the north-west region of England that employs Geographical Information Systems (GIS). Measures of the possible demand for, and supply of, hospice inpatient services are used to determine the potential accessibility of cancer patients, assessed at the level of small areas (electoral wards). Further, the use of deprivation scores permits an analysis of the equity of access to adult inpatient hospice care, leading to the identification of areas where additional service provision may be warranted. Our research is subject to a number of caveats�it is limited to inpatient hospice provision and does not include other kinds of inpatient and community-based palliative care services. Likewise, we recognise that not everyone with cancer will require palliative care and also that palliative care needs exist among those with nonmalignant conditions. Nevertheless, our methodology is one that can also be applied more generally.

    Item Type: Article
    Journal or Publication Title: Palliative Medicine
    Uncontrolled Keywords: accessibility ; deprivation ; equity ; geographical information systems ; hospice inpatient services
    Subjects: R Medicine > RM Therapeutics. Pharmacology
    Departments: Faculty of Health and Medicine > Health Research
    Faculty of Science and Technology > Lancaster Environment Centre
    Faculty of Arts & Social Sciences
    Faculty of Health and Medicine
    ID Code: 493
    Deposited By: Professor Tony Gatrell
    Deposited On: 05 Apr 2007
    Refereed?: Yes
    Published?: Published
    Last Modified: 26 Jul 2012 18:12
    Identification Number:
    URI: http://eprints.lancs.ac.uk/id/eprint/493

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