Lauren R Bangerter1, Joan M Griffin1, Arielle Eagan2, Manish Mishra3, Angela Lunde4, Véronique Roger1,5,6, Albert Mulley2, Jon Lotherington7. 1. Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, 200 First Street SW Rochester, Minnesota, USA. 2. Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, Massachusetts, USA. 3. Dartmouth Institute for Health Policy and Clinical Practice, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, New Hampshire, USA. 4. Alzheimer's Disease Research Center, Mayo Clinic, 200 First Street SW Rochester, Minnesota, USA. 5. Department of Health Sciences Research, Mayo Clinic, 200 First Street SW Rochester, Minnesota, USA. 6. Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW Rochester, Minnesota, USA. 7. Salzburg Global Seminar, Schloss Leopoldskron Leopoldskronstrasse 56-58, Salzburg, Austria.
Abstract
OBJECTIVE: In December 2016, 66 health leaders from 14 countries convened at the Salzburg Global Seminar (SGS) to engage in cross-cultural and collaborative discussions centered on 'Rethinking Care Toward the End of Life'. Conversations focused on global perspectives on death and dying, challenges experienced by researchers, physicians, patients and family caregivers. This paper summarizes key findings and recommendations from SGS. DESIGN: Featured sessions focused on critical issues of end of life care led by key stakeholders, physicians, researchers, and other global leaders in palliative care. Sessions spanned across several critical themes including: patient/family/caregiver engagement, integrating health and community-based social care, eliciting and honoring patient preferences, building an evidence base for palliative care, learning from system failures, and delivering end of life care in low-resource countries. Sessions were followed by intensive collaborative discussions which helped formulate key recommendations for rethinking and ultimately advancing end of life care. RESULTS: Prominent lessons learned from SGS include learning from low-resource countries, development of evidence-based quality measures, implementing changes in training and education, and respecting the personal agency of patients and their families. CONCLUSION: There is a global need to rethink, and ultimately revolutionize end of life care in all countries. This paper outlines key aspects of end of life care that warrant explicit improvement through specific action from key stakeholders.
OBJECTIVE: In December 2016, 66 health leaders from 14 countries convened at the Salzburg Global Seminar (SGS) to engage in cross-cultural and collaborative discussions centered on 'Rethinking Care Toward the End of Life'. Conversations focused on global perspectives on death and dying, challenges experienced by researchers, physicians, patients and family caregivers. This paper summarizes key findings and recommendations from SGS. DESIGN: Featured sessions focused on critical issues of end of life care led by key stakeholders, physicians, researchers, and other global leaders in palliative care. Sessions spanned across several critical themes including: patient/family/caregiver engagement, integrating health and community-based social care, eliciting and honoring patient preferences, building an evidence base for palliative care, learning from system failures, and delivering end of life care in low-resource countries. Sessions were followed by intensive collaborative discussions which helped formulate key recommendations for rethinking and ultimately advancing end of life care. RESULTS: Prominent lessons learned from SGS include learning from low-resource countries, development of evidence-based quality measures, implementing changes in training and education, and respecting the personal agency of patients and their families. CONCLUSION: There is a global need to rethink, and ultimately revolutionize end of life care in all countries. This paper outlines key aspects of end of life care that warrant explicit improvement through specific action from key stakeholders.
Authors: Nataly R Espinoza Suarez; Meritxell Urtecho; Christina A Nyquist; Carolina Jaramillo; Mei-Ean Yeow; Bjorg Thorsteinsdottir; Michael E Wilson; Amelia K Barwise Journal: J Crit Care Date: 2020-10-17 Impact factor: 3.425