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dc.contributor.authorMitchell, Sarah
dc.contributor.authorHarrison, Madeleine
dc.contributor.authorOliver, Phillip
dc.contributor.authorGardiner, Clare
dc.contributor.authorChapman, Helen
dc.contributor.authorKhan, Dena
dc.contributor.authorBoyd, Kirsty
dc.contributor.authorDale, Jeremy
dc.contributor.authorBarclay, Stephen
dc.contributor.authorMayland, Catriona R
dc.date.accessioned2022-01-28T16:49:52Z
dc.date.available2022-01-28T16:49:52Z
dc.date.issued2022-01
dc.identifier.issn0269-2163
dc.identifier.other10.1177_02692163211049311
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/333358
dc.descriptionFunder: yorkshire cancer research; FundRef: https://doi.org/10.13039/100011703
dc.descriptionFunder: Connects Senior Research Fellowships
dc.description.abstractBACKGROUND: Primary healthcare teams (general practice and community nursing services) within the United Kingdom provided the majority of community end-of-life care during COVID-19, alongside specialist palliative care services. As international healthcare systems move to a period of restoration following the first phases of the pandemic, the impact of rapidly-implemented service changes and innovations across primary and specialist palliative care services must be understood. AIM: To provide detailed insights and understanding into service changes and innovation that occurred in UK primary care to deliver end-of-life care during the first phase of the COVID-19 pandemic. DESIGN: Cross-sectional online survey. Responses were analysed using descriptive statistics and thematic analysis. SETTING/PARTICIPANTS: United Kingdom survey of general practitioners and community nurses, circulated via regional and national professional networks. RESULTS: A total of 559 valid responses were received from 387 community nurses, 156 general practitioners and 16 'other'. Over a third of respondents (n = 224; 40.8%) experienced changes in the organisation of their team in order to provide end-of-life care in response to the COVID-19 pandemic. Three qualitative themes were identified: COVID-19 as a catalyst for change in primary palliative care; new opportunities for more responsive and technological ways of working; and pandemic factors that improved and strengthened interprofessional collaboration. CONCLUSION: Opportunity has arisen to incorporate cross-boundary service changes and innovations, implemented rapidly at the time of crisis, into future service delivery. Future research should focus on which service changes and innovations provide the most benefits, who for and how, within the context of increased patient need and complexity.
dc.languageen
dc.publisherSAGE Publications
dc.subjectOriginal Articles
dc.subjectPrimary health care
dc.subjectgeneral practice
dc.subjectprimary care nursing
dc.subjectpalliative care
dc.subjectend-of-life care
dc.subjectCOVID-19
dc.titleService change and innovation in community end-of-life care during the COVID-19 pandemic: Qualitative analysis of a nationwide primary care survey.
dc.typeArticle
dc.date.updated2022-01-28T16:49:51Z
prism.endingPage170
prism.issueIdentifier1
prism.publicationNamePalliat Med
prism.startingPage161
prism.volume36
dc.identifier.doi10.17863/CAM.80781
dcterms.dateAccepted2021-09-13
rioxxterms.versionofrecord10.1177/02692163211049311
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2021-12-17
dc.contributor.orcidMitchell, Sarah [0000-0002-1477-7860]
dc.contributor.orcidHarrison, Madeleine [0000-0001-9874-921X]
dc.contributor.orcidGardiner, Clare [0000-0003-1785-7054]
dc.contributor.orcidMayland, Catriona R [0000-0002-1440-9953]
dc.identifier.eissn1477-030X
cam.issuedOnline2021-12-17
rioxxterms.freetoread.startdate2021-12-17
rioxxterms.freetoread.startdate2021-12-17


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