Considering community care in public health responses: A national study regarding palliative care during a prolonged coronavirus disease 2019 lockdown.

Daveson, BA; Blanchard, M; Davis, WR; Connolly, J; Clapham, S; William, L; Kaltner, M; Currow, DC; Yates, P; Clark, K; Eagar, K

Considering community care in public health responses: A national study regarding palliative care during a prolonged coronavirus disease 2019 lockdown.

Daveson, BA Blanchard, M Davis, WR Connolly, J Clapham, S William, L Kaltner, M Currow, DC Yates, P Clark, K Eagar, K

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Aust N Z J Public Health, 2023, 47, (2), pp. 100019
Issue Date:: 2023-04

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Field	Value	Language
dc.contributor.author	Daveson, BA
dc.contributor.author	Blanchard, M
dc.contributor.author	Davis, WR
dc.contributor.author	Connolly, J
dc.contributor.author	Clapham, S
dc.contributor.author	William, L
dc.contributor.author	Kaltner, M
dc.contributor.author	Currow, DC
dc.contributor.author	Yates, P
dc.contributor.author	Clark, K
dc.contributor.author	Eagar, K
dc.date.accessioned	2023-09-20T03:44:30Z
dc.date.available	2022-12-28
dc.date.available	2023-09-20T03:44:30Z
dc.date.issued	2023-04
dc.identifier.citation	Aust N Z J Public Health, 2023, 47, (2), pp. 100019
dc.identifier.issn	1326-0200
dc.identifier.issn	1753-6405
dc.identifier.uri	http://hdl.handle.net/10453/172213
dc.description.abstract	OBJECTIVE: To describe changes in palliative care characteristics, utilisation and outcomes in Victoria during a period of enhanced public health management and a prolonged lockdown due to coronavirus disease 2019. METHODS: A national retrospective cohort study with palliative care service setting comparisons in Victoria and other mainland states was conducted. RESULTS: Analysis of 48 non-Victorian services (n=53,428 patients) and 20 Victorian services (n=31,125 patients) showed that for community services, patient volume, average length of stay, functional dependency and the proportion of admissions in a deteriorating phase increased during the lockdown in Victoria, yet little changed in comparator states. Regarding inpatient services, the management of family/carer problems remained constant in comparator states, yet substantial fluctuations in outcomes in Victoria were observed. CONCLUSIONS: As health systems adapt to changing circumstances during the pandemic, the ability to upscale community services is critical. Addressing the implications of shifting inpatient care to the community needs attention. IMPLICATIONS FOR PUBLIC HEALTH: Our study highlights the need to ensure community care providers are adequately considered within public health management responses. 'Joined up' policy and implementation across care settings are essential, especially as major barriers to infection control and increased utilisation may be evident in the community during the coronavirus disease 2019 pandemic.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Aust N Z J Public Health
dc.relation.isbasedon	10.1016/j.anzjph.2023.100019
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1402 Applied Economics, 1605 Policy and Administration
dc.subject.classification	Public Health
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Communicable Disease Control
dc.subject.mesh	COVID-19
dc.subject.mesh	Palliative Care
dc.subject.mesh	Public Health
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Health Policy
dc.subject.mesh	Pandemics
dc.subject.mesh	Community Health Services
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Public Health
dc.subject.mesh	Communicable Disease Control
dc.subject.mesh	Health Policy
dc.subject.mesh	Community Health Services
dc.subject.mesh	Pandemics
dc.subject.mesh	COVID-19
dc.subject.mesh	Humans
dc.subject.mesh	Communicable Disease Control
dc.subject.mesh	COVID-19
dc.subject.mesh	Palliative Care
dc.subject.mesh	Public Health
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Health Policy
dc.subject.mesh	Pandemics
dc.subject.mesh	Community Health Services
dc.title	Considering community care in public health responses: A national study regarding palliative care during a prolonged coronavirus disease 2019 lockdown.
dc.type	Journal Article
utslib.citation.volume	47
utslib.location.activity	United States
utslib.for	1117 Public Health and Health Services
utslib.for	1402 Applied Economics
utslib.for	1605 Policy and Administration
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
dc.date.updated	2023-09-20T03:44:27Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	47
utslib.citation.issue	2

Abstract:

OBJECTIVE: To describe changes in palliative care characteristics, utilisation and outcomes in Victoria during a period of enhanced public health management and a prolonged lockdown due to coronavirus disease 2019. METHODS: A national retrospective cohort study with palliative care service setting comparisons in Victoria and other mainland states was conducted. RESULTS: Analysis of 48 non-Victorian services (n=53,428 patients) and 20 Victorian services (n=31,125 patients) showed that for community services, patient volume, average length of stay, functional dependency and the proportion of admissions in a deteriorating phase increased during the lockdown in Victoria, yet little changed in comparator states. Regarding inpatient services, the management of family/carer problems remained constant in comparator states, yet substantial fluctuations in outcomes in Victoria were observed. CONCLUSIONS: As health systems adapt to changing circumstances during the pandemic, the ability to upscale community services is critical. Addressing the implications of shifting inpatient care to the community needs attention. IMPLICATIONS FOR PUBLIC HEALTH: Our study highlights the need to ensure community care providers are adequately considered within public health management responses. 'Joined up' policy and implementation across care settings are essential, especially as major barriers to infection control and increased utilisation may be evident in the community during the coronavirus disease 2019 pandemic.

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http://hdl.handle.net/10453/172213