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Change in Activity of Palliative Care Services during the Covid-19 Pandemic: A Multinational Survey (CovPall)

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<mark>Journal publication date</mark>31/03/2022
<mark>Journal</mark>Journal of Palliative Medicine
Issue number3
Volume25
Number of pages7
Pages (from-to)465-471
Publication StatusPublished
Early online date20/12/21
<mark>Original language</mark>English

Abstract

Objectives: To identify factors associated with palliative care services being busier during Covid-19.

Methods: Cross-sectional online survey of UK palliative care services (April to July 2020) (CovPall). Ethical approval was received from King's College London Research Ethics committee (LRS-19/20-18541). The primary outcome was change in busyness (five-point ordinal scale). Ordinal logistic regression investigated factors associated with the primary outcome.

Results: Of 277 responses, 71 (26%) reported being a lot more busy, 62 (22%) slightly more, 53 (19%) about the same, 50 (18%) slightly less, and 28 (10%) much less busy. Increased business was associated with homecare services (odds ratio [OR] 1.93, 95% confidence interval [CI] 1.15–3.25), nursing care at home (OR 3.24, 95% CI 1.70–6.19), publicly managed services (OR 2.20, 95% CI 1.11–4.34), Covid-19 cases (OR 1.01, 95% CI 1.00–1.01), and staff shortages (OR 2.71, 95% CI 1.64–4.48).

Conclusion: Services providing community care, and publicly managed services, may have been better able to respond to escalating needs during Covid-19. This has potential implications for both service delivery and funding models.