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. 2023 Jan;32(1):148-154.
doi: 10.1002/pon.5995. Epub 2022 Aug 11.

Same storm, different boat: The global impact of COVID-19 on palliative care

Kelcie D Willis  1   2 , Seema Rajesh Rao  3 , Michelle Normen  3 , Janet de Groot  4 , Lynn Calman  5 , Ozan Bahcivan  6   7 , Isabel Centeno  8 , Dwain C Fehon  9   10
Affiliations

Same storm, different boat: The global impact of COVID-19 on palliative care

Kelcie D Willis et al. Psychooncology. 2023 Jan.

Abstract

Objective: The COVID-19 pandemic has had a complex and profound impact on the provision of palliative care globally. To support learning from palliative care providers and researchers worldwide, the Education Subcommittee of International Psycho-Oncology Society (IPOS) Palliative Care Special Interest Group developed a webinar with presentations by and discussion with eight international palliative care leaders.

Methods: Presentations were content rich; the speakers used both quantitative (e.g., sharing recent statistical findings) and qualitative (e.g., narrative storytelling, anecdotal experiences) approaches to portray the effect of COVID-19 in their region. Subsequent to the webinar, the committee collectively identified five themes conveyed by the presenters through consensus.

Results: The themes included: (1) altered accessibility to palliative care, with socio-economic status impacting virtual health availability; (2) reduced opportunities to preserve dignity, as survival has been prioritized over preserving the humanity of patients and their loved ones; (3) complicated grief and bereavement arising from social distancing requirements; (4) greater awareness of the importance of sustaining health provider well-being; and (5) the development of valuable innovations across nations, institutions, disciplines, and communities.

Conclusions: Overall, the webinar facilitated valuable connection for global learning and identified opportunities for research and clinical interventions. In an ongoing crisis that has exacerbated isolation, we will need to continue to learn and lean on one another as a global community to navigate ongoing challenges of the COVID-19 pandemic.

Keywords: COVID-19; LMIC; accessibility; cancer; dignity; end-of-life; global; inequities; oncology; palliative care.

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Conflict of interest statement

Lynn Calman has received an honorarium for delivering an educational workshop from Boehringer Ingelheim. Janet de Groot has received funding from the Alberta Cancer Foundation (Co‐PI) and the Indigenous Strategy Grant (PI).

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