An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia
Identifieur interne : 003E41 ( Istex/Corpus ); précédent : 003E40; suivant : 003E42An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia
Auteurs : Dorothy Elizabeth LogieSource :
- BMJ Supportive & Palliative Care [ 2045-435X ] ; 2012-09.
English descriptors
- KwdEn :
- Advocacy, Advocacy strategy, Better understanding, Cancer diseases hospital, Care association, Care organisations, Care programme, Community programme, Data collection, Donor funding, Drug availability, Facility interviews, Fact book, Funding, Government policy, Health care, Health staff, Hospice, Income countries, Mobile clinic, Morphine, Morphine pilot project, National aids council, Oral morphine, Organisation, Other donors, Other funders, Pain relief, Pain symptom, Palliative, Palliative care, Palliative care association, Palliative care initiative, Palliative care organisations, Palliative care provision, Palliative care training, Pcaz, Professions council, Programme, Public health strategy, Public health system, Rapid evaluation, Reliable supply, Rural area, Rural areas, Rural hospice, Student nurses, Transport costs, True colours trust, Urban areas, Wales memorial fund, Zambia.
- Teeft :
- Advocacy, Advocacy strategy, Better understanding, Cancer diseases hospital, Care association, Care organisations, Care programme, Community programme, Data collection, Donor funding, Drug availability, Facility interviews, Fact book, Funding, Government policy, Health care, Health staff, Hospice, Income countries, Mobile clinic, Morphine, Morphine pilot project, National aids council, Oral morphine, Organisation, Other donors, Other funders, Pain relief, Pain symptom, Palliative, Palliative care, Palliative care association, Palliative care initiative, Palliative care organisations, Palliative care provision, Palliative care training, Pcaz, Professions council, Programme, Public health strategy, Public health system, Rapid evaluation, Reliable supply, Rural area, Rural areas, Rural hospice, Student nurses, Transport costs, True colours trust, Urban areas, Wales memorial fund, Zambia.
Abstract
Background The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care. Objective To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation. Methods and results Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health. Conclusions For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.
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DOI: 10.1136/bmjspcare-2012-000232
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delogie@btinternet.com</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">BMJ Supportive & Palliative Care</title><title level="j" type="abbrev">BMJ Support Palliat Care</title><idno type="ISSN">2045-435X</idno><idno type="eISSN">2045-4368</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2012-09">2012-09</date><biblScope unit="volume">2</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="264">264</biblScope></imprint><idno type="ISSN">2045-435X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">2045-435X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advocacy</term><term>Advocacy strategy</term><term>Better understanding</term><term>Cancer diseases hospital</term><term>Care association</term><term>Care organisations</term><term>Care programme</term><term>Community programme</term><term>Data collection</term><term>Donor funding</term><term>Drug availability</term><term>Facility interviews</term><term>Fact book</term><term>Funding</term><term>Government policy</term><term>Health care</term><term>Health staff</term><term>Hospice</term><term>Income countries</term><term>Mobile clinic</term><term>Morphine</term><term>Morphine pilot project</term><term>National aids council</term><term>Oral morphine</term><term>Organisation</term><term>Other donors</term><term>Other funders</term><term>Pain relief</term><term>Pain symptom</term><term>Palliative</term><term>Palliative care</term><term>Palliative care association</term><term>Palliative care initiative</term><term>Palliative care organisations</term><term>Palliative care provision</term><term>Palliative care training</term><term>Pcaz</term><term>Professions council</term><term>Programme</term><term>Public health strategy</term><term>Public health system</term><term>Rapid evaluation</term><term>Reliable supply</term><term>Rural area</term><term>Rural areas</term><term>Rural hospice</term><term>Student nurses</term><term>Transport costs</term><term>True colours trust</term><term>Urban areas</term><term>Wales memorial fund</term><term>Zambia</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Advocacy</term><term>Advocacy strategy</term><term>Better understanding</term><term>Cancer diseases hospital</term><term>Care association</term><term>Care organisations</term><term>Care programme</term><term>Community programme</term><term>Data collection</term><term>Donor funding</term><term>Drug availability</term><term>Facility interviews</term><term>Fact book</term><term>Funding</term><term>Government policy</term><term>Health care</term><term>Health staff</term><term>Hospice</term><term>Income countries</term><term>Mobile clinic</term><term>Morphine</term><term>Morphine pilot project</term><term>National aids council</term><term>Oral morphine</term><term>Organisation</term><term>Other donors</term><term>Other funders</term><term>Pain relief</term><term>Pain symptom</term><term>Palliative</term><term>Palliative care</term><term>Palliative care association</term><term>Palliative care initiative</term><term>Palliative care organisations</term><term>Palliative care provision</term><term>Palliative care training</term><term>Pcaz</term><term>Professions council</term><term>Programme</term><term>Public health strategy</term><term>Public health system</term><term>Rapid evaluation</term><term>Reliable supply</term><term>Rural area</term><term>Rural areas</term><term>Rural hospice</term><term>Student nurses</term><term>Transport costs</term><term>True colours trust</term><term>Urban areas</term><term>Wales memorial fund</term><term>Zambia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care. Objective To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation. Methods and results Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health. Conclusions For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>palliative care</json:string><json:string>palliative</json:string><json:string>organisation</json:string><json:string>zambia</json:string><json:string>programme</json:string><json:string>morphine</json:string><json:string>palliative care organisations</json:string><json:string>hospice</json:string><json:string>funding</json:string><json:string>pcaz</json:string><json:string>government policy</json:string><json:string>morphine pilot project</json:string><json:string>oral morphine</json:string><json:string>pain relief</json:string><json:string>drug availability</json:string><json:string>palliative care association</json:string><json:string>palliative care initiative</json:string><json:string>true colours trust</json:string><json:string>advocacy strategy</json:string><json:string>wales memorial fund</json:string><json:string>reliable supply</json:string><json:string>cancer diseases hospital</json:string><json:string>national aids council</json:string><json:string>health care</json:string><json:string>care association</json:string><json:string>income countries</json:string><json:string>public health system</json:string><json:string>urban areas</json:string><json:string>rapid evaluation</json:string><json:string>facility interviews</json:string><json:string>data collection</json:string><json:string>other funders</json:string><json:string>palliative care training</json:string><json:string>palliative care provision</json:string><json:string>pain symptom</json:string><json:string>care organisations</json:string><json:string>community programme</json:string><json:string>health staff</json:string><json:string>transport costs</json:string><json:string>care programme</json:string><json:string>donor funding</json:string><json:string>student nurses</json:string><json:string>rural hospice</json:string><json:string>better understanding</json:string><json:string>rural area</json:string><json:string>mobile clinic</json:string><json:string>rural areas</json:string><json:string>fact book</json:string><json:string>professions council</json:string><json:string>public health strategy</json:string><json:string>other donors</json:string><json:string>advocacy</json:string></teeft></keywords><author><json:item><name>Dorothy Elizabeth Logie</name></json:item></author><articleId><json:string>bmjspcare-2012-000232</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Background The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care. Objective To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation. Methods and results Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health. Conclusions For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.</abstract><qualityIndicators><score>7.205</score><pdfVersion>1.4</pdfVersion><pdfPageSize>597.6 x 795.6 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1670</abstractCharCount><pdfWordCount>3705</pdfWordCount><pdfCharCount>22852</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>250</abstractWordCount></qualityIndicators><title>An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</title><genre><json:string>research-article</json:string></genre><host><title>BMJ Supportive & Palliative Care</title><language><json:string>unknown</json:string></language><issn><json:string>2045-435X</json:string></issn><eissn><json:string>2045-4368</json:string></eissn><publisherId><json:string>bmjspcare</json:string></publisherId><volume>2</volume><issue>3</issue><pages><first>264</first></pages><genre><json:string>journal</json:string></genre></host><categories><inist><json:string>sciences humaines et sociales</json:string></inist></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1136/bmjspcare-2012-000232</json:string></doi><id>BEDB2D3A5A8531323F119CEB4B20BA4C66C12731</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/BEDB2D3A5A8531323F119CEB4B20BA4C66C12731/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/BEDB2D3A5A8531323F119CEB4B20BA4C66C12731/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/BEDB2D3A5A8531323F119CEB4B20BA4C66C12731/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">British Medical Journal Publishing Group</publisher><availability><licence><p>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</p></availability><date>2012</date></publicationStmt><notesStmt><note type="research-article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</title><author xml:id="author-0000"><persName><forename type="first">Dorothy Elizabeth</forename><surname>Logie</surname></persName><affiliation>Correspondence to Dorothy Elizabeth Logie, Cheviot View, Bowden, Melrose TD6 0ST, UK; delogie@btinternet.com</affiliation></author><idno type="istex">BEDB2D3A5A8531323F119CEB4B20BA4C66C12731</idno><idno type="ark">ark:/67375/NVC-2FJJFLW2-J</idno><idno type="DOI">10.1136/bmjspcare-2012-000232</idno><idno type="href">bmjspcare-2-264.pdf</idno><idno type="article-id">bmjspcare-2012-000232</idno><idno type="local">bmjspcare;2/3/264</idno></analytic><monogr><title level="j">BMJ Supportive & Palliative Care</title><title level="j" type="abbrev">BMJ Support Palliat Care</title><idno type="pISSN">2045-435X</idno><idno type="eISSN">2045-4368</idno><idno type="publisher-id">bmjspcare</idno><idno type="PublisherID-hwp">bmjspcare</idno><idno type="PublisherID-nlm-ta">BMJ Support Palliat Care</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2012-09"></date><biblScope unit="volume">2</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="264">264</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2012</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Background The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care. Objective To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation. Methods and results Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health. Conclusions For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.</p></abstract></profileDesc><revisionDesc><change when="2012-09">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/BEDB2D3A5A8531323F119CEB4B20BA4C66C12731/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">bmjspcare</journal-id><journal-id journal-id-type="nlm-ta">BMJ Support Palliat Care</journal-id><journal-id journal-id-type="publisher-id">bmjspcare</journal-id><journal-title>BMJ Supportive & Palliative Care</journal-title><abbrev-journal-title abbrev-type="publisher">BMJ Support Palliat Care</abbrev-journal-title><abbrev-journal-title>BMJ Support Palliat Care</abbrev-journal-title><issn pub-type="ppub">2045-435X</issn><issn pub-type="epub">2045-4368</issn><publisher><publisher-name>British Medical Journal Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">bmjspcare-2012-000232</article-id><article-id pub-id-type="doi">10.1136/bmjspcare-2012-000232</article-id><article-id pub-id-type="other">bmjspcare;2/3/264</article-id><article-id pub-id-type="other">bmjspcare;bmjspcare-2012-000232</article-id><article-id pub-id-type="other">264</article-id><article-id pub-id-type="other">bmjspcare-2012-000232</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Logie</surname><given-names>Dorothy Elizabeth</given-names></name></contrib></contrib-group><author-notes><corresp><label>Correspondence to</label> Dorothy Elizabeth Logie, Cheviot View, Bowden, Melrose TD6 0ST, UK; <email xlink:type="simple">delogie@btinternet.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>9</month><year>2012</year></pub-date><pub-date pub-type="epub-original"><month>9</month><year>2012</year></pub-date><volume>2</volume><volume-id pub-id-type="other">2</volume-id><volume-id pub-id-type="other">2</volume-id><issue>3</issue><issue-id pub-id-type="other">bmjspcare;2/3</issue-id><issue-id pub-id-type="other">3</issue-id><issue-id pub-id-type="other">2/3</issue-id><fpage>264</fpage><history><date date-type="received"><day>6</day><month>3</month><year>2012</year></date><date date-type="accepted"><day>24</day><month>4</month><year>2012</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="bmjspcare-2-264.pdf"></self-uri><abstract><sec><title>Background</title><p>The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care.</p></sec><sec><title>Objective</title><p>To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation.</p></sec><sec><title>Methods and results</title><p> Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health.</p></sec><sec><title>Conclusions</title><p>For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia</title></titleInfo><name type="personal"><namePart type="given">Dorothy Elizabeth</namePart><namePart type="family">Logie</namePart><affiliation>Correspondence to Dorothy Elizabeth Logie, Cheviot View, Bowden, Melrose TD6 0ST, UK; delogie@btinternet.com</affiliation></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>British Medical Journal Publishing Group</publisher><dateIssued encoding="w3cdtf">2012-09</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>Background The provision of palliative and end-of-life care for patients with progressive disease is inadequate worldwide. The WHO strategy to develop a public health system of palliative care at the national level proposes a quadripartite approach: policy, education, drug availability and implementation. This is particularly necessary in low income countries facing a high disease burden with low resources. To date there have been no published evaluations of advocacy strategies aiming to use the WHO approach to enhance access to palliative care. Objective To evaluate the Palliative Care Initiative which implements the WHO approach to strategically improve palliative care throughout Zambia, using a multiple methods rapid field evaluation. Methods and results Eight hospices and palliative care organisations in Zambia were part-funded over 2 years (2009–11) and were thus able to expand their services, offer a reliable supply of drugs, secure fuel for transport, and support home carers. Simultaneously, an extensive programme of rural and urban training resulted in staff being more confident in caring for the dying with improved attitudes to the concerns of very ill patients and their families. A multi-agency morphine pilot project led by the Palliative Care Association of Zambia and the Ministry of Health resolved some of the obstacles and increased morphine availability although its use remains low. Palliative care is now being considered by the technical working group at the Ministry of Health. Conclusions For palliative care to thrive in any resource-poor country it must be integrated into the public health system and secure long-term funding.</abstract><relatedItem type="host"><titleInfo><title>BMJ Supportive & Palliative Care</title></titleInfo><titleInfo type="abbreviated"><title>BMJ Support Palliat Care</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">2045-435X</identifier><identifier type="eISSN">2045-4368</identifier><identifier type="PublisherID">bmjspcare</identifier><identifier type="PublisherID-hwp">bmjspcare</identifier><identifier type="PublisherID-nlm-ta">BMJ Support Palliat Care</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>2</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>264</start></extent></part></relatedItem><identifier type="istex">BEDB2D3A5A8531323F119CEB4B20BA4C66C12731</identifier><identifier type="ark">ark:/67375/NVC-2FJJFLW2-J</identifier><identifier type="DOI">10.1136/bmjspcare-2012-000232</identifier><identifier type="href">bmjspcare-2-264.pdf</identifier><identifier type="ArticleID">bmjspcare-2012-000232</identifier><identifier type="local">bmjspcare;2/3/264</identifier><accessCondition type="use and reproduction" contentType="copyright">Published by the BMJ Publishing Group Limited. 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