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Visioning for secondary palliative care service hubs in rural communities: a qualitative case study from British Columbias interior
BMC Palliative Care, 10/19/09

Crooks VA et al. – Four themes emerged from the dataset: (1) main SPCH features; (2) determining a location; (3) value–added outcomes; and (4) key considerations. It was found that participants generally supported implementing a SPCH in the rural region of focus. Several consistent messages emerged, including that: (1) SPCHs must create opportunities for two–way information exchange between specialists and generalists and communities; (2) SPCHs should diffuse information and ideas throughout the region while serving as a locus for education and a means of enhancing training opportunities; and (3) hubs need not be physical sites in the community (e.g., an office in a hospice or hospital), but may be virtual or take other forms based upon local needs. Visioning innovation in the provision of palliative care service in rural communities can be enhanced by consultation with local providers. Interviews are a means of determining local concerns and priorities. There was widespread support for SPCH coupled with some uncertainty about means of implementation.

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