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Rural end-of-life care in New Zealand, Australia and South East Asia

Rural end-of-life care in New Zealand, Australia and South East Asia. Rod MacLeod Department of General Practice and Primary Health Care University of Auckland and North Shore Hospice, Takapuna rd.macleod@auckland.ac.nz. The overall trends – not really different ‘down under’.

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Rural end-of-life care in New Zealand, Australia and South East Asia

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  1. Ruralend-of-life care in New Zealand, Australia and South East Asia Rod MacLeod Department of General Practice and Primary Health Care University of Auckland and North Shore Hospice, Takapuna rd.macleod@auckland.ac.nz

  2. The overall trends – not really different ‘down under’ An aging population Increasing life expectancy Rising numbers of the oldest old [Growing burden of non-communicable disease] Changing family structure Shifting patterns of work and retirement Evolving social insurance systems Department of State and the Department of Health and Human Services. 2007. Why Population Aging Matters: A Global Perspective . Washington DC: National Institutes of Health

  3. Michael Wright with Ednin Hamzah, Temsak Phungrassami and Agnes Bausa-ClaudioOxford University Press Hospice and Palliative Care in Southeast Asia

  4. Australia McNamara B, Rosenwax L Factors affecting place of death in Western Australia Health & Place 2007; 356-367 • Almost half of Western Australians died in hospital • With increasing age there is a tendency to die in your place of residence • People accessing specialist palliative care had a seven times higher chance of dying in their usual place of residence

  5. Australia 26,882 people died in WA in 2.5 year study • 48.6% died in hospital • 35.8% died in place of residence (private 20.2%; RAC 15.6%) • 5.5% died in hospice • 6.3% died in some ‘other’ place McNamara B, Rosenwax L. Factors affecting place of death in Western Australia. Health & Place 2007; 356-367

  6. Hospice care in NZ

  7. Procare project resources • Palliative care Folder • Online resources (ProTube) • Hospice • 24 hour telephone support • Social workers • Counsellors • Chaplain • Respite Care • Symptom management • Volunteers • Day group programmes …. and many more • Community Health Coordinators (ProCare)

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