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Readership: Trainees in palliative medicine, specialist nurses, general practitioners and all health care professionals looking after patients with palliative care needs. Audience:Oxford Handbook of Palliative Careis intended for a UK audience as well as other areas which follow UK medical practice including Europe, Australia, the Middle East, India and East Asia.
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This chapter examines the issue of access to healthcare, with particular emphasis on the five dimensions of the model proposed by Roy Penchansky and J. William Thomas: availability, accessibility, accommodation, affordability, and acceptability. It also discusses the constitutional powers of states and the federal government with respect to health, along with relevant health law.
While palliative care has adopted a holistic approach to treatment, medication driven symptom management ostensibly forms the critical aspect of care. Pharmacological therapy can be extremely complex because these patients often have coexisting medical conditions in addition to symptoms caused by their terminal disease. The resulting polypharmacy can be daunting for professionals and can ...
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