Access to palliative care in a tertiary care hospital in Thailand
Keywords:
palliative patient, palliative care, prevalence, strong opioids, advance care planAbstract
OBJECTIVE
To evaluate the access to palliative care in a hospitalized patients in tertiary care hospital.
METHODS
The retrospective chart review was conducted. All medical records of hospitalized patients were surveyed during January 2019. The survey excluded the medical records of pediatrics, obstetrics and postpartum care, psychiatric, and intensive care unit. When the condition of patients was met criterion of SPICT™(2017).
RESULTS
There were 1,005 patients admitted to the hospital during the study period. Of these, 215 patients (21.4%) met the Gold Standard Framework of National Health Institute of Scotland, SPICTTM 2017 which should be eligible for palliative care; however, only 13 had consultation with for palliative care while 202 did not. The main primary disease in palliative cases was malignancy while 34.7% of those without consultation for palliative care did not have cancer.
CONCLUSION
Palliative care service in this tertiary care hospital in Thailand was relatively low. A larger study investigating the rate of access to the system to represent Thai palliative care is needed.
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