title: The interface between palliative medicine and specialists in acute-care hospitals: boundaries, bridges and challenges.
abstract: Palliative care teams have made an important contribution to improving the care of patients with incurable illnesses in Australian hospitals over the past 20 years. Co-location of hospital-based palliative medicine specialists with other specialties allows communication and exchange of ideas on issues relevant to the medical care of such patients. Shared management of complex cases maximises comprehension of patient distress and optimises the support provided during hospitalisation. Tensions arising across the interface provide opportunities for both groups to improve the relief of suffering in the acute-care setting. Palliative medicine in the private sector has some advantages, but specialists also face specific challenges, including the cost of certain drugs, access to the multidisciplinary team and reimbursement issues.
authors.affiliation: Palliative Care Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050. paul@email.cs.nsw.gov.au
authors.forename: Paul A
authors.initials: PA
authors.lastname: Glare
authors.forename: Kirsten A
authors.initials: KA
authors.lastname: Auret
authors.forename: Ghauri
authors.initials: G
authors.lastname: Aggarwal
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Clark
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Pickstock
authors.forename: J Norelle
authors.initials: JN
authors.lastname: Lickiss
mesh_terms: D001315:Australia; D016304:Hospitals, Private; D006784:Hospitals, Teaching; D006801:Humans; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital; D008511:Medicine; D010166:Palliative Care / Q000458:organization & administration; D013038:Specialization