Elizabeth McDermott|Lucy Selman|Michael Wright|David Clark
Hospice and Palliative Care Development in India: A Multimethod Review of Services and Experiences
University of York|King's College London|Lancaster University|Lancaster University
palliative care developing india since mid1980s dearth evidence service provision base national policy practice aim study assess current state palliative care india mapping existence services state state documenting perspectives experiences involved multimethod review used included synthesis evidence published grey literature ethnographic field visits qualitative interviews 87 individuals 12 states collation existing public health data review identified 138 hospice palliative care services 16 states union territories mostly concentrated large cities exception kerala much widespread nongovernmental organizations public private hospitals hospices predominant sources provision unable identify palliative care services 19 statesunion territories development services uneven greater provision evident south north majority states coverage poor barriers development palliative care include poverty population density geography opioid availability workforce development limited national palliative care policy successful models exist development affordable sustainable communitybased palliative care services arisen adapting western models hospice palliative care implementation indian cultural context work required ensure growing interest hospice palliative care india used increase momentum progress