Experience in Strategic Networking to Promote Palliative Care in a Clinical Academic Setting in India
Identifieur interne : 000967 ( Pmc/Checkpoint ); précédent : 000966; suivant : 000968Experience in Strategic Networking to Promote Palliative Care in a Clinical Academic Setting in India
Auteurs : Shoba Nair [Inde] ; Sd Tarey [Inde] ; B. Barathi [Inde] ; Thiophin Regina Mary [Inde] ; Lovely Mathew [Inde] ; Sudha Pauline Daniel [Inde]Source :
- Indian Journal of Palliative Care [ 0973-1075 ] ; 2016.
Abstract
Palliative care in low and middle-income countries is a new discipline, responding to a greater patient need, than in high-income countries. By its very nature, palliative as a specialty has to network with other specialties to provide quality care to patients. For any medical discipline to grow as a specialty, it should be well established in the teaching medical institutions of that country. Data show that palliative care is more likely to establish and grow in an academic health care institution. It is a necessity that multiple networking strategies are adopted to reach this goal.
(1) To describe a strategic approach to palliative care service development and integration into clinical academic setting. (2) To present the change in metrics to evaluate progress.
This is a descriptive study wherein, the different strategies that are adopted by the Department of Palliative Medicine for networking in an academic health care institution and outside the institution are scrutinized.
The impact of this networking was assessed, one, at the level of academics and the other, at the level of service. The number of people who attended various training programs conducted by the department and the number of patients who availed palliative care service over the years were assessed.
Ten different strategies were identified that helped with networking of palliative care in the institution. During this time, the referrals to the department increased both for malignant diseases (52–395) and nonmalignant diseases (5–353) from 2000 to 2013. The academic sessions conducted by the department for undergraduates also saw an increase in the number of hours from 6 to 12, apart from the increase in a number of courses conducted by the department for doctors and nurses.
Networking is an essential strategy for the establishment of a relatively new medical discipline like palliative care in a developing and populous country like India, where the service is disproportionate to the demands.
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DOI: 10.4103/0973-1075.173953
PubMed: 26962274
PubMed Central: 4768446
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Barathi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mary, Thiophin Regina" sort="Mary, Thiophin Regina" uniqKey="Mary T" first="Thiophin Regina" last="Mary">Thiophin Regina Mary</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mathew, Lovely" sort="Mathew, Lovely" uniqKey="Mathew L" first="Lovely" last="Mathew">Lovely Mathew</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Daniel, Sudha Pauline" sort="Daniel, Sudha Pauline" uniqKey="Daniel S" first="Sudha Pauline" last="Daniel">Sudha Pauline Daniel</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26962274</idno><idno type="pmc">4768446</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768446</idno><idno type="RBID">PMC:4768446</idno><idno type="doi">10.4103/0973-1075.173953</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000749</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000749</idno><idno type="wicri:Area/Pmc/Curation">000749</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000749</idno><idno type="wicri:Area/Pmc/Checkpoint">000967</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000967</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Experience in Strategic Networking to Promote Palliative Care in a Clinical Academic Setting in India</title><author><name sortKey="Nair, Shoba" sort="Nair, Shoba" uniqKey="Nair S" first="Shoba" last="Nair">Shoba Nair</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Tarey, Sd" sort="Tarey, Sd" uniqKey="Tarey S" first="Sd" last="Tarey">Sd Tarey</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Barathi, B" sort="Barathi, B" uniqKey="Barathi B" first="B" last="Barathi">B. Barathi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mary, Thiophin Regina" sort="Mary, Thiophin Regina" uniqKey="Mary T" first="Thiophin Regina" last="Mary">Thiophin Regina Mary</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Mathew, Lovely" sort="Mathew, Lovely" uniqKey="Mathew L" first="Lovely" last="Mathew">Lovely Mathew</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Radiation Oncology, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Daniel, Sudha Pauline" sort="Daniel, Sudha Pauline" uniqKey="Daniel S" first="Sudha Pauline" last="Daniel">Sudha Pauline Daniel</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Palliative Care</title><idno type="ISSN">0973-1075</idno><idno type="eISSN">1998-3735</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Palliative care in low and middle-income countries is a new discipline, responding to a greater patient need, than in high-income countries. By its very nature, palliative as a specialty has to network with other specialties to provide quality care to patients. For any medical discipline to grow as a specialty, it should be well established in the teaching medical institutions of that country. Data show that palliative care is more likely to establish and grow in an academic health care institution. It is a necessity that multiple networking strategies are adopted to reach this goal.</p></sec><sec id="st2"><title>Objectives:</title><p>(1) To describe a strategic approach to palliative care service development and integration into clinical academic setting. (2) To present the change in metrics to evaluate progress.</p></sec><sec id="st3"><title>Design and Setting:</title><p>This is a descriptive study wherein, the different strategies that are adopted by the Department of Palliative Medicine for networking in an academic health care institution and outside the institution are scrutinized.</p></sec><sec id="st4"><title>Measurement:</title><p>The impact of this networking was assessed, one, at the level of academics and the other, at the level of service. The number of people who attended various training programs conducted by the department and the number of patients who availed palliative care service over the years were assessed.</p></sec><sec id="st5"><title>Results:</title><p>Ten different strategies were identified that helped with networking of palliative care in the institution. During this time, the referrals to the department increased both for malignant diseases (52–395) and nonmalignant diseases (5–353) from 2000 to 2013. The academic sessions conducted by the department for undergraduates also saw an increase in the number of hours from 6 to 12, apart from the increase in a number of courses conducted by the department for doctors and nurses.</p></sec><sec id="st6"><title>Conclusion:</title><p>Networking is an essential strategy for the establishment of a relatively new medical discipline like palliative care in a developing and populous country like India, where the service is disproportionate to the demands.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Morrison, Rs" uniqKey="Morrison R">RS Morrison</name></author><author><name sortKey="Maroney Galin, C" uniqKey="Maroney Galin C">C Maroney-Galin</name></author><author><name sortKey="Kralovec, Pd" uniqKey="Kralovec P">PD Kralovec</name></author><author><name sortKey="Meier, De" uniqKey="Meier D">DE Meier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vinay, P" uniqKey="Vinay P">P Vinay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meier, De" uniqKey="Meier D">DE Meier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spruyt, O" uniqKey="Spruyt O">O Spruyt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rao, K" uniqKey="Rao K">K Rao</name></author><author><name sortKey="Simha, N" uniqKey="Simha N">N Simha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meier, De" uniqKey="Meier D">DE Meier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Velayudhan, Y" uniqKey="Velayudhan Y">Y Velayudhan</name></author><author><name sortKey="Ollapally, M" uniqKey="Ollapally M">M Ollapally</name></author><author><name sortKey="Upadhyaya, V" uniqKey="Upadhyaya V">V Upadhyaya</name></author><author><name sortKey="Nair, S" uniqKey="Nair S">S Nair</name></author><author><name sortKey="Aldo, M" uniqKey="Aldo M">M Aldo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nair, Sn" uniqKey="Nair S">SN Nair</name></author><author><name sortKey="Mary, Tr" uniqKey="Mary T">TR Mary</name></author><author><name sortKey="Prarthana, S" uniqKey="Prarthana S">S Prarthana</name></author><author><name sortKey="Harrison, P" uniqKey="Harrison P">P Harrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Finlay, I" uniqKey="Finlay I">I Finlay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weissman, De" uniqKey="Weissman D">DE Weissman</name></author><author><name sortKey="Meier, De" uniqKey="Meier D">DE Meier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bruera, E" uniqKey="Bruera E">E Bruera</name></author><author><name sortKey="Billings, Ja" uniqKey="Billings J">JA Billings</name></author><author><name sortKey="Lupu, D" uniqKey="Lupu D">D Lupu</name></author><author><name sortKey="Ritchie, Cs" uniqKey="Ritchie C">CS Ritchie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaasa, S" uniqKey="Kaasa S">S Kaasa</name></author><author><name sortKey="Jordh Y, Ms" uniqKey="Jordh Y M">MS Jordhøy</name></author><author><name sortKey="Haugen, Df" uniqKey="Haugen D">DF Haugen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wright, M" uniqKey="Wright M">M Wright</name></author><author><name sortKey="Humzah, E" uniqKey="Humzah E">E Humzah</name></author><author><name sortKey="Phungrasammi, T" uniqKey="Phungrasammi T">T Phungrasammi</name></author><author><name sortKey="Bausa Claudio, A" uniqKey="Bausa Claudio A">A Bausa- Claudio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paleri, A" uniqKey="Paleri A">A Paleri</name></author><author><name sortKey="Numpeli, M" uniqKey="Numpeli M">M Numpeli</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Palliat Care</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Palliat Care</journal-id><journal-id journal-id-type="publisher-id">IJPC</journal-id><journal-title-group><journal-title>Indian Journal of Palliative Care</journal-title></journal-title-group><issn pub-type="ppub">0973-1075</issn><issn pub-type="epub">1998-3735</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26962274</article-id><article-id pub-id-type="pmc">4768446</article-id><article-id pub-id-type="publisher-id">IJPC-22-3</article-id><article-id pub-id-type="doi">10.4103/0973-1075.173953</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Experience in Strategic Networking to Promote Palliative Care in a Clinical Academic Setting in India</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nair</surname><given-names>Shoba</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Tarey</surname><given-names>SD</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Barathi</surname><given-names>B</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Mary</surname><given-names>Thiophin Regina</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Mathew</surname><given-names>Lovely</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>Daniel</surname><given-names>Sudha Pauline</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Department of Palliative Medicine, St. John's Medical College Hospital, Bengaluru, Karnataka, India</aff><aff id="aff2"><label>1</label>Department of Radiation Oncology, St. John's Medical College Hospital, Bengaluru, Karnataka, India</aff><author-notes><corresp id="cor1"><italic><bold>Address for correspondence:</bold> Dr. Shoba Nair; E-mail: <email xlink:href="nair.shoba@gmail.com">nair.shoba@gmail.com</email></italic></corresp></author-notes><pub-date pub-type="ppub"><season>Jan-Mar</season><year>2016</year></pub-date><volume>22</volume><issue>1</issue><fpage>3</fpage><lpage>8</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Palliative Care</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p></license></permissions><abstract><sec id="st1"><title>Background:</title><p>Palliative care in low and middle-income countries is a new discipline, responding to a greater patient need, than in high-income countries. By its very nature, palliative as a specialty has to network with other specialties to provide quality care to patients. For any medical discipline to grow as a specialty, it should be well established in the teaching medical institutions of that country. Data show that palliative care is more likely to establish and grow in an academic health care institution. It is a necessity that multiple networking strategies are adopted to reach this goal.</p></sec><sec id="st2"><title>Objectives:</title><p>(1) To describe a strategic approach to palliative care service development and integration into clinical academic setting. (2) To present the change in metrics to evaluate progress.</p></sec><sec id="st3"><title>Design and Setting:</title><p>This is a descriptive study wherein, the different strategies that are adopted by the Department of Palliative Medicine for networking in an academic health care institution and outside the institution are scrutinized.</p></sec><sec id="st4"><title>Measurement:</title><p>The impact of this networking was assessed, one, at the level of academics and the other, at the level of service. The number of people who attended various training programs conducted by the department and the number of patients who availed palliative care service over the years were assessed.</p></sec><sec id="st5"><title>Results:</title><p>Ten different strategies were identified that helped with networking of palliative care in the institution. During this time, the referrals to the department increased both for malignant diseases (52–395) and nonmalignant diseases (5–353) from 2000 to 2013. The academic sessions conducted by the department for undergraduates also saw an increase in the number of hours from 6 to 12, apart from the increase in a number of courses conducted by the department for doctors and nurses.</p></sec><sec id="st6"><title>Conclusion:</title><p>Networking is an essential strategy for the establishment of a relatively new medical discipline like palliative care in a developing and populous country like India, where the service is disproportionate to the demands.</p></sec></abstract><kwd-group><kwd>Academic institution</kwd><kwd>Networking</kwd><kwd>Palliative care</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Nair, Shoba" sort="Nair, Shoba" uniqKey="Nair S" first="Shoba" last="Nair">Shoba Nair</name></noRegion><name sortKey="Barathi, B" sort="Barathi, B" uniqKey="Barathi B" first="B" last="Barathi">B. Barathi</name><name sortKey="Daniel, Sudha Pauline" sort="Daniel, Sudha Pauline" uniqKey="Daniel S" first="Sudha Pauline" last="Daniel">Sudha Pauline Daniel</name><name sortKey="Mary, Thiophin Regina" sort="Mary, Thiophin Regina" uniqKey="Mary T" first="Thiophin Regina" last="Mary">Thiophin Regina Mary</name><name sortKey="Mathew, Lovely" sort="Mathew, Lovely" uniqKey="Mathew L" first="Lovely" last="Mathew">Lovely Mathew</name><name sortKey="Tarey, Sd" sort="Tarey, Sd" uniqKey="Tarey S" first="Sd" last="Tarey">Sd Tarey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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