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COVID-19, palliative care and public health

The lack of integration between public health approaches, cancer care and palliative and end-of-life care in the majority of health systems globally became strikingly evident in the context of the coronavirus disease 2019 (COVID-19) pandemic. At the same time, the collapse of the boundaries between...

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Autores principales: Rodin, Gary, Zimmermann, Camilla, Rodin, Danielle, al-Awamer, Ahmed, Sullivan, Richard, Chamberlain, Charlotte
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833837/
https://www.ncbi.nlm.nih.gov/pubmed/32653775
http://dx.doi.org/10.1016/j.ejca.2020.05.023
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author Rodin, Gary
Zimmermann, Camilla
Rodin, Danielle
al-Awamer, Ahmed
Sullivan, Richard
Chamberlain, Charlotte
author_facet Rodin, Gary
Zimmermann, Camilla
Rodin, Danielle
al-Awamer, Ahmed
Sullivan, Richard
Chamberlain, Charlotte
author_sort Rodin, Gary
collection PubMed
description The lack of integration between public health approaches, cancer care and palliative and end-of-life care in the majority of health systems globally became strikingly evident in the context of the coronavirus disease 2019 (COVID-19) pandemic. At the same time, the collapse of the boundaries between these domains imposed by the pandemic created unique opportunities for intersectoral planning and collaboration. While the challenge of integration is not unique to oncology, the organisation of cancer care and its linkages to palliative care and to global health may allow it to be a demonstration model for how the problem of integration can be addressed. Before the pandemic, the large majority of individuals with cancer in need of palliative care in low- and middle-income countries and the poor or marginalised in high-income countries were denied access. This inequity was highlighted by the COVID-19 pandemic, as individuals in impoverished or population-dense settings with weak health systems have been more likely to become infected and to have less access to medical care and to palliative and end-of-life care. Such inequities deserve attention by government, financial institutions and decision makers in health care. However, there has been no framework in most countries for integrated decision-making that takes into account the requirements of public health, clinical medicine and palliative and end-of-life care. Integrated planning across these domains at all levels would allow for more coordinated resource allocation and better preparedness for the inevitability of future systemic threats to population health.
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spelling pubmed-78338372021-01-26 COVID-19, palliative care and public health Rodin, Gary Zimmermann, Camilla Rodin, Danielle al-Awamer, Ahmed Sullivan, Richard Chamberlain, Charlotte Eur J Cancer Current Perspective The lack of integration between public health approaches, cancer care and palliative and end-of-life care in the majority of health systems globally became strikingly evident in the context of the coronavirus disease 2019 (COVID-19) pandemic. At the same time, the collapse of the boundaries between these domains imposed by the pandemic created unique opportunities for intersectoral planning and collaboration. While the challenge of integration is not unique to oncology, the organisation of cancer care and its linkages to palliative care and to global health may allow it to be a demonstration model for how the problem of integration can be addressed. Before the pandemic, the large majority of individuals with cancer in need of palliative care in low- and middle-income countries and the poor or marginalised in high-income countries were denied access. This inequity was highlighted by the COVID-19 pandemic, as individuals in impoverished or population-dense settings with weak health systems have been more likely to become infected and to have less access to medical care and to palliative and end-of-life care. Such inequities deserve attention by government, financial institutions and decision makers in health care. However, there has been no framework in most countries for integrated decision-making that takes into account the requirements of public health, clinical medicine and palliative and end-of-life care. Integrated planning across these domains at all levels would allow for more coordinated resource allocation and better preparedness for the inevitability of future systemic threats to population health. Elsevier Ltd. 2020-09 2020-07-09 /pmc/articles/PMC7833837/ /pubmed/32653775 http://dx.doi.org/10.1016/j.ejca.2020.05.023 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Current Perspective
Rodin, Gary
Zimmermann, Camilla
Rodin, Danielle
al-Awamer, Ahmed
Sullivan, Richard
Chamberlain, Charlotte
COVID-19, palliative care and public health
title COVID-19, palliative care and public health
title_full COVID-19, palliative care and public health
title_fullStr COVID-19, palliative care and public health
title_full_unstemmed COVID-19, palliative care and public health
title_short COVID-19, palliative care and public health
title_sort covid-19, palliative care and public health
topic Current Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833837/
https://www.ncbi.nlm.nih.gov/pubmed/32653775
http://dx.doi.org/10.1016/j.ejca.2020.05.023
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