Rights statement: Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/10.1089/jpm.2021.0315
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Change in activity of palliative care services during the Covid-19 pandemic
T2 - a multi-national survey (CovPall)
AU - Sleeman, Katherine E
AU - Cripps, Rachel L.
AU - Murtagh, Fliss E.M.
AU - Oluyase, Adejoke O
AU - Hocaoglu, Mevhibe B.
AU - Maddocks, Matthew
AU - Walshe, Catherine
AU - Preston, Nancy
AU - Dunleavy, Lesley
AU - Bradshaw, Andy
AU - Bajwah, Sabrina
AU - Higginson, Irene J
AU - Fraser, Lorna K
N1 - Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/10.1089/jpm.2021.0315
PY - 2022/3/31
Y1 - 2022/3/31
N2 - 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.
AB - 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.
KW - Covid-19
KW - end-of-life care
KW - hospices
KW - palliative care
KW - pandemics
KW - severe acute respiratory syndrome coronavirus 2
U2 - 10.1089/jpm.2021.0315
DO - 10.1089/jpm.2021.0315
M3 - Journal article
VL - 25
SP - 465
EP - 471
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
SN - 1096-6218
IS - 3
ER -