title: Assessing the suitability of host communities for secondary palliative care hubs: a location analysis model.
abstract: An increased need for palliative care has been acknowledged world-wide. However, recent Canadian end-of-life care frameworks have largely failed to consider the unique challenges of delivery in rural and remote regions. In the Canadian province of British Columbia (BC), urban areas are well-served for specialized palliative care; however, rural and remote regions are not. This study presents a location analysis model designed to determine appropriate locations to allocate palliative care services. Secondary palliative care hubs (PCH) are introduced as an option for delivering these services in rural and remote regions. Results suggest that several BC communities may be appropriate locations for secondary PCHs. This model could be applied to the allocation of palliative care resources in other jurisdictions with similar rural and remote regions.
authors.affiliation: Department of Geography, Simon Fraser University, Burnaby, British Columbia, Canada V5A 1S6. jca80@sfu.ca
authors.forename: Jonathan
authors.initials: J
authors.lastname: Cinnamon
authors.forename: Nadine
authors.initials: N
authors.lastname: Schuurman
authors.forename: Valorie A
authors.initials: VA
authors.lastname: Crooks
mesh_terms: D001955:British Columbia; D040362:Geographic Information Systems; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008962:Models, Theoretical; D010166:Palliative Care; D011365:Professional Practice Location; D012424:Rural Population; D019452:Terminally Ill