Operation of a hospital palliative care service: a fourth-generation evaluation Carla Simone Leite de Almeida Sonia Silva Marcon Laura Misue Matsuda Luciane Prado Kantorski Bianca Sakamoto Ribeiro Paiva Catarina Aparecida Sales 10.6084/m9.figshare.8031005.v1 https://scielo.figshare.com/articles/figure/Operation_of_a_hospital_palliative_care_service_a_fourth-generation_evaluation/8031005 <div><p>ABSTRACT Objective: Qualitatively evaluate the operation of a palliative care service in oncology. Methodology: Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method. Results: Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient’s biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members. Final Consideration: For palliative care progress in the service, some arrangements are required to enhance integrality of care.</p></div> 2019-04-24 02:41:33 Health Services Research Oncology Service Hospital Health Services Evaluation Palliative Care Hospice Care