TY - JOUR
T1 - Situational analysis of the quality of palliative care services across India
T2 - a cross-sectional survey
AU - Ghoshal, Arunangshu
AU - Joad, Anjum Khan
AU - Spruijt, Odette
AU - Nair, Shobha
AU - Rajagopal, M. R.
AU - Patel, Firuza
AU - Damani, Anuja
AU - Deodhar, Jayita
AU - Goswami, Dinesh
AU - Joshi, Geeta
AU - Butola, Savita
AU - Singh, Charu
AU - Rao, Seema Rajesh
AU - Bhatwadekar, Madhura
AU - Muckaden, Mary Ann
AU - Bhatnagar, Sushma
N1 - Funding Information:
Publication costs for this article were supported by ecancer (UK Charity number 1176307). The task force acknowledges the expert input from Dr Mhoira Leng, Dr Jenifer Jeba, Dr Naveen Salins, Dr Biju Raghavan and Ms Savita Luka. The authors also acknowledge Ms Ruchika Mohite for helping us with the project, all the staff of the Palliative care Unit at Dr. E Borges Home and Tata Memorial Hospital, Mumbai, officials from the IAPC and all respondents.
Publisher Copyright:
© the authors; licensee ecancermedicalscience. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
PY - 2022
Y1 - 2022
N2 - Objective: Palliative care services in India were established in the 1980s but there is no detailed up-to-date knowledge about the quality-of-service provision nationally. We aim to describe the current quality of palliative care provision in India, as measured against nationally adopted standards. Method: A digital survey adapted from the Indian Association of Palliative Care Standards Audit Tool was administered to 250 palliative care centres. Results: Two hundred and twenty-three (89%) palliative care centres participated - 26.4% were government-run, while the rest include non-governmental organisations, private hospitals, community-led initiatives and hospices. About 200 centres 'often' or 'always' fulfilled 16/21 desirable criteria; however, only 2/15 essential criteria were 'often' or 'always' fulfilled. Only 5.8% provide uninterrupted access to oral morphine. Significance of the results: Palliative care centres in India are falling short of meeting the essential quality standards, indicating the urgent need for new initiatives to drive national change.
AB - Objective: Palliative care services in India were established in the 1980s but there is no detailed up-to-date knowledge about the quality-of-service provision nationally. We aim to describe the current quality of palliative care provision in India, as measured against nationally adopted standards. Method: A digital survey adapted from the Indian Association of Palliative Care Standards Audit Tool was administered to 250 palliative care centres. Results: Two hundred and twenty-three (89%) palliative care centres participated - 26.4% were government-run, while the rest include non-governmental organisations, private hospitals, community-led initiatives and hospices. About 200 centres 'often' or 'always' fulfilled 16/21 desirable criteria; however, only 2/15 essential criteria were 'often' or 'always' fulfilled. Only 5.8% provide uninterrupted access to oral morphine. Significance of the results: Palliative care centres in India are falling short of meeting the essential quality standards, indicating the urgent need for new initiatives to drive national change.
UR - http://www.scopus.com/inward/record.url?scp=85147811014&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85147811014&partnerID=8YFLogxK
U2 - 10.3332/ecancer.2022.1486
DO - 10.3332/ecancer.2022.1486
M3 - Article
AN - SCOPUS:85147811014
SN - 1754-6605
VL - 16
JO - ecancermedicalscience
JF - ecancermedicalscience
M1 - 1486
ER -
