'COVID-19 and palliative medicine: faith-based hospitals in India'
| Autor: | Liz Grant, Ruby Angeline Priscilla S, Jenifer Jeba Sundararaj, Scott A Murray, Savita Duomai, Ashita Singh, Priya John, Kirsty Boyd, Daniel Munday, Ruth Powys |
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| Rok vydání: | 2021 |
| Předmět: |
Response rate (survey)
medicine.medical_specialty Palliative care COVID-19 Home care Hospital care Coronavirus disease 2019 (COVID-19) Oncology (nursing) business.industry media_common.quotation_subject 030231 tropical medicine Medicine (miscellaneous) General Medicine Computer-assisted web interviewing Faith 03 medical and health sciences Medical–Surgical Nursing 0302 clinical medicine Preparedness Family medicine Food supply medicine 030212 general & internal medicine business Personal protective equipment media_common |
| Zdroj: | Sundararaj, J J, Munday, D, Duomai, S, John, P, Priscilla, R, Singh, A, Powys, R, Boyd, K, Grant, L & Murray, S 2021, ' COVID-19 and palliative medicine: faith-based hospitals in India ', BMJ Supportive & Palliative Care, vol. 10.1136, no. 0, 002924, pp. 1-5 . https://doi.org/10.1136/ bmjspcare-2021-002924 |
| ISSN: | 2045-4368 |
| DOI: | 10.1136/ |
| Popis: | ObjectivesFaith-based organisations (FBOs) in India provide health services particularly to marginalised communities. We studied their preparedness and delivery of palliative care during COVID-19 as part of a mixed-method study. We present the results of an online questionnaire.MethodsAll FBOs providing palliative care in India were invited to complete an online questionnaire. Descriptive analysis was undertaken.ResultsResponse rate was 46/64 (72%); 44 provided palliative care; 30/44 (68%) were in rural or semiurban areas with 10–2700 beds. Fifty-two per cent (23/44) had dedicated palliative care teams and 30/44 (68%) provided it as part of general services; 17/44 (39%) provided both. 29/44 (66%) provided palliative care for cancer patients; 17/44 (34%) reported that this was more than half their workload.The pandemic led to reduced clinical work: hospital 36/44 (82%) and community 40/44 (91%); with reduction in hospital income for 41/44 (93%). 18/44 (44%) were designated government COVID-19 centres; 11/40 (32%) had admitted between 1 and 2230 COVID-19 patients.COVID-19 brought challenges: 14/44 (32%) lacked personal protective equipment; 21/44 (48%) had reduced hospital supplies and 19/44 (43%) lacked key medications including morphine. 29/44 (66%) reported reduction in palliative care work; 7/44 (16%) had stopped altogether. Twenty-three per cent (10/44) reported redeployment of palliative care teams to other work. For those providing, palliative care 32/37 (86%) was principally for non-COVID patients; 13/37 (35%) cared for COVID-19 patients. Service adaptations included: teleconsultation, triaged home visits, medication delivery at home and food supply.ConclusionsFBOs in India providing palliative care had continued to do so despite multiple challenges. Services were adapted to enable ongoing patient care. Further research is exploring the effects of COVID-19 in greater depth. |
| Databáze: | OpenAIRE |
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