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Figure 2 | BMC Palliative Care

Figure 2

From: Visioning for secondary palliative care service hubs in rural communities: a qualitative case study from British Columbia's interior

Figure 2

Visualizing the Secondary Palliative Care Hub. This figure provides a visual illustration of several of the features of the SPCH that participants identified as desirable. The primary hub (e.g., a tertiary hospital with full palliative care services) has: specialist knowledge; existing training opportunities; diagnostic tools and expertise; and multi-professional team practice. The secondary hub (e.g., a rural community that has primary care practitioners, other formal and informal providers, and possibly even a local hospice) has: generalist knowledge; a desire to build capacity; places where educational and training events can be hosted from; and a vision to enhance care provision. Resources shared between the primary and secondary hubs can include: patient information; mentorship; teleconferencing; joint educational and training opportunities; and diagnostic and symptom management assistance. Noteworthy is that exchange is not limited to the primary and secondary hubs; other rural communities in the region can benefit from the existence of a secondary hub in the area through site visits and information and knowledge exchange.

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