Research output: Contribution to journal › Article › peer-review
Katherine E. Sleeman, Rachel L. Cripps, Fliss E.M. Murtagh, Adejoke O. Oluyase, Mevhibe B. Hocaoglu, Matthew Maddocks, Catherine Walshe, Nancy Preston, Lesley Dunleavy, Andy Bradshaw, Sabrina Bajwah, Irene J. Higginson, Lorna K. Fraser
Original language | English |
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Pages (from-to) | 465-471 |
Number of pages | 7 |
Journal | Journal of palliative medicine |
Volume | 25 |
Issue number | 3 |
Early online date | 20 Dec 2021 |
DOIs | |
Accepted/In press | 17 Nov 2021 |
E-pub ahead of print | 20 Dec 2021 |
Published | 1 Mar 2022 |
Additional links |
Change in Activity of Palliative_SLEEMAN_Publishedonline20December2021_GOLD VoR (CC BY)
jpm.2021.0315.pdf, 78 KB, application/pdf
Uploaded date:11 Mar 2022
Version:Final published version
Licence:CC BY
Objectives: To identify factors associated with palliative care services being busier during Covid-19. Methods: Cross-sectional online survey of UK palliative care services (April to July 2020) (CovPall). Ethical approval was received from King's College London Research Ethics committee (LRS-19/20-18541). The primary outcome was change in busyness (five-point ordinal scale). Ordinal logistic regression investigated factors associated with the primary outcome. Results: Of 277 responses, 71 (26%) reported being a lot more busy, 62 (22%) slightly more, 53 (19%) about the same, 50 (18%) slightly less, and 28 (10%) much less busy. Increased business was associated with homecare services (odds ratio [OR] 1.93, 95% confidence interval [CI] 1.15-3.25), nursing care at home (OR 3.24, 95% CI 1.70-6.19), publicly managed services (OR 2.20, 95% CI 1.11-4.34), Covid-19 cases (OR 1.01, 95% CI 1.00-1.01), and staff shortages (OR 2.71, 95% CI 1.64-4.48). Conclusion: Services providing community care, and publicly managed services, may have been better able to respond to escalating needs during Covid-19. This has potential implications for both service delivery and funding models.
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