This article has been peer reviewed and accepted for publication. It is in production and has not been edited, so may differ from the final published form.
Evaluating a model of delivering specialist palliative care services in rural New Zealand
Aims: Various methods of delivering specialist palliative care to rural areas have been discussed in the literature but published evaluations of these models are sparse. This study surveyed the stakeholders of a rural specialist palliative care service (SPCS) to help identify potential gaps and inform planning regarding the future vision. Methods: A survey was sent to all relevant stakeholders across the Coast including staff in primary care, private businesses and the acute hospital. It focussed on understanding of the local model of palliative care, the quality of the current service and perceived gaps. Results: Thirsty-three percent of the surveys were returned, from a cross-section of health care providers. The medical respondents rated the quality of the service higher than nursing and allied health. All of the groups reported feeling the Specialist Palliative Care team (SPCT) was under-resourced. The need for additional educational opportunities was considered essential. Discussion Stakeholders found the service easy to access but improvements in communication, educational opportunities and forward planning were identified as being needed. This information helps the West Coast SPCT plan its future direction and develop a high quality service that meets the needs of all stakeholders.
HC18004 Accepted 10 April 2018
© CSIRO 2018