Palliative care clinical trials: Generalizability and applicability in hospice and palliative care practice

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Handbook of Pain and Palliative Care: Biobehavioral Approaches for the Life Course, 2013, pp. 109 - 119
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Clinical practice in hospice and palliative care is underpinned by a strong evidence base which continues to develop rapidly. High quality clinical studies are being done that can, and should, directly inform practice. An additional challenge to uptake of new evidence into practice in hospice and palliative care is the wide variation in service delivery models and the populations which are referred to those services. Approximately one in two people in resource-rich countries will be referred to hospice and palliative care but which one in two varies widely even within countries. This chapter sets out some key parameters for considering how to help researchers to describe their research in hospice and palliative care so that the reader can more easily apply the findings to their clinical practice. If this is done more systematically, it is hoped that this will aid the more timely uptake of evidence into practice in order to continue to improve patient outcomes. Such a process requires service and population descriptors for both the researchers and the person applying the research.
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