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Integrated palliative care definition and constitutive elements: scoping review

Meritxell Mondejar-Pont (Faculty of Health Sciences and Welfare, University of Vic, Central University of Catalonia, Vic, Spain)
Anna Ramon-Aribau (Faculty of Health Sciences and Welfare, University of Vic, Central University of Catalonia, Vic, Spain)
Xavier Gómez-Batiste (Chair in Palliative Care, University of Vic, Central University of Catalonia, Vic, Spain)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 12 August 2019

Issue publication date: 8 October 2019

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Abstract

Purpose

The purpose of this paper is to propose a unified definition of integrated palliative care (IPC), and to identify the elements that facilitate or hinder implementation of an integrated palliative care system (IPCS).

Design/methodology/approach

A scoping review of the conceptualization and essential elements of IPC was undertaken, based on a search of the PubMed, Scopus and ISI Web of Science databases. The search identified 79 unduplicated articles; 43 articles were selected for content analysis.

Findings

IPC is coordinated and collaborative across different health organizations, levels of care and types of providers. Eight key elements facilitate implementation of an IPCS: coordination, early patient identification, patient-centered services, care continuity, provider education and training, a standard implementation model and screening tool, shared information technology system, and supportive policies and funding. These elements were plotted as a “Circle of Integrated Palliative Care System Elements.”

Practical implications

This paper offers researchers an inclusive definition of IPC and describes the essential elements of its successful implementation.

Originality/value

This study provides evidence from researchers on five continents, offering insights from multiple countries and cultures on the topic of IPC. The findings of this thematic analysis could assist international researchers aiming to develop a standard evaluative model or assess the level of integration in a health care system’s delivery of palliative care.

Keywords

Citation

Mondejar-Pont, M., Ramon-Aribau, A. and Gómez-Batiste, X. (2019), "Integrated palliative care definition and constitutive elements: scoping review", Journal of Integrated Care, Vol. 27 No. 4, pp. 285-304. https://doi.org/10.1108/JICA-11-2018-0069

Publisher

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Emerald Publishing Limited

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