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Virtual home-based palliative care during COVID-19: A qualitative exploration of the patient, caregiver, and healthcare provider experience.
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- Author(s): Vincent, Daniel; Peixoto, Cayden; Quinn, Kieran L; Kyeremanteng, Kwadwo; Lalumiere, Genevieve; Kurahashi, Allison M; Gilbert, Nathalie; Isenberg, Sarina R
- Source:
Palliative Medicine. Oct2022, Vol. 36 Issue 9, p1374-1388. 15p. - Source:
- Additional Information
- Subject Terms: CAREGIVER attitudes; HOME care services; ATTITUDES of medical personnel; TELEPHONES; RESEARCH methodology; VIDEOCONFERENCING; INTERVIEWING; PATIENTS' attitudes; QUALITATIVE research; PSYCHOLOGY of caregivers; COMMUNITY health workers; PSYCHOSOCIAL factors; THEMATIC analysis; TELEMEDICINE; PALLIATIVE treatment; COVID-19 pandemic
- Subject Terms:
- Abstract: Background: Due to the COVID-19 pandemic, many community palliative healthcare providers shifted from providing care in a patient's home to providing almost exclusively virtual palliative care, or a combination of in-person and virtual care. Research on virtual palliative care is thus needed to provide evidence-based recommendations aiming to enhance the delivery of palliative care during and beyond the pandemic. Aim: To explore the experiences and perceptions of community palliative care providers, patients and caregivers who delivered or received virtual palliative care as a component of home-based palliative care during the COVID-19 pandemic. Design: Qualitative study using phone and video-based semi-structured interviews. Data were analyzed using thematic analysis. Setting/participants: A total of 37 participants, including community palliative care patients/caregivers (n = 19) and healthcare providers (n = 18) recruited from sites in Ottawa and Toronto, Ontario, Canada. Results: Overall, participants preferred in-person palliative care compared to virtual care, but suggested virtual care could be a useful supplement to in-person care. The findings are presented in three main themes: (1) Impact of COVID-19 pandemic on community palliative care services; (2) Factors influencing transition from exclusively virtual model of care back to a blended model of care; and (3) Recommended uses and implementation of virtual palliative care Conclusions: Incorporating virtual palliative care into healthcare provider practice models (blended care models) may be the ideal model of care and standard practice moving forward beyond the COVID-19 pandemic, which has important implications toward organization and delivery of community palliative care services and funding of healthcare providers. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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