THIS MONTH’S EDITOR’S CHOICE FROM ‘PALLIATIVE MEDICINE’
Mary Scott is an MSc Candidate at the University of Ottawa and Research Assistant, Ottawa Hospital Research Institute, The Bruyère Research Institute, Ottawa, Ontario, Canada. Here she explains the background to her research study and longer article published in the January issue of ‘Palliative Medicine’.
An eager anthropology undergraduate meets a successful clinical investigator and together they develop a plan to conduct a systematic review. So begins a search that has not ended.
Drs Peter Tanuseputro, Amy Hsu, Sarina Isenberg and colleagues identified a need for a review on effectiveness of palliative care after discharge in Ontario. Although palliative care is often discussed as an effective intervention that improves patients’ quality of life and other health outcomes, it was only recently recognised as a specialty. Peter and his colleagues have been exploring the impact of palliative care services over the past few years. Many patients transitioning from hospital to community settings at the end of life experience challenges with consistency of care plans and providers. This can be particularly burdensome given the often-increased healthcare needs of patients and their families during this period. Palliative care is considered a good approach to care that manages patients’ symptoms and supports patient-centred care plans. Recent evidence that there is lack of palliative care being delivered across Ontario was further reason to consolidate the evidence on how palliative care impacts the end of life after hospitalisation.
The study taught me that conducting a rigorous systematic review is quite tough. But it also taught me that health research could be an exciting venture for someone who is curious and creative, and could be very impactful when aiming to address issues within our healthcare system. This project was also personally exciting because I deepened my knowledge of my own father’s career as a palliative care physician, who was a key figure in its development in Canada.
This review was a pivotal experience for me. I am now pursuing a new career in research. This fall I began a Master’s programme in Epidemiology at the University of Ottawa. My proposed thesis is looking at physicians who provide house calls to those at the end of life and emerges directly from this initial project. I aim to identify physician-based factors that influence home visits in Ontario. This work will provide insight to policy and decision-makers on how we can redirect funding that bolsters community care and alleviates the overburdened acute care system. I believe the passion that I feel for research was fostered by the encouraging and supportive leadership on my research team. I am grateful I was provided the opportunity to make an impact on real people’s lives through gathering more evidence on an effective approach to end-of-life care.
Conducting this review ignited a personal desire to continue searching for answers to important questions in health care through scientific inquiry and evaluation.
DOWNLOAD THE FULL ARTICLE IN ‘PALLIATIVE MEDICINE’
This post relates to the longer article, ‘Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review’ by Mary Scott, Nicole Shaver, Julie Lapenskie, Sarina R Isenberg, Stephanie Saunders, Amy T Hsu, Peter Tanuseputro, published in Palliative Medicine 2020 Volume: 34 issue 1; page(s): 5-15. https://doi.org/10.1177/0269216319870649 Article first published online: 4 October 2019. Issue published: 1 January 2020.
Listen to a podcast with Mary Scott providing a personal interpretation of this article: https://journals.sagepub.com/doi/suppl/10.1177/0269216319870649
- Read more about Mary Scott here.
- Read earlier Palliative Medicine Editor’s Choice posts on theEAPC blog.
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