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Table 4 Categories and interpretation of data in the literature review section

From: Developing an integrated model of community-based palliative care into the primary health care (PHC) for terminally ill cancer patients in Iran

Category

Subcategory

Codes extracted from the literature

Texts from references

Inter-sectional corporation

 

Necessity of cooperation in all levels of prevention in the Ministry of Health; necessity of cooperation of the Ministry of Health with other governmental and non-governmental organizations; necessity of providing care in private and public outpatient clinics

Inter-sectional corporation such as public hospitals, nongovernmental organizations, and charities [23].

Services to patients can be provided in clinics and consultation centers [24].

Providing optimum care to patients

Structure of home care team

Cancer patients should receive comprehensive care from a home care team; palliative care should be provided by various caregivers with different specialties to patients; home care team composed of various specialists.

Palliative care team can consist of oncologist, palliative care physicians, nurses at different levels of care, social workers, religious experts and other healthcare providers [25].

Family conference

Providing information to the family about their role in care team, providing information to the family in different stages of the disease, explaining the benefits of transferring the patient to home care to the family, making decision about the patient with family

In order to provide home care, the patient and family should be prepare to confront the problem in different stages of the disease [26, 27].

Criteria of patient assessment

Using standard tools for identifying needs and decision-making for the patient’s care

Palliative performance scale (PPS) can be used as a good index of predicting the survival and health status of the patient [28, 29].

Good death

 

Paying attention to the preferences of patients and families can influence a good death. Healthcare team assistance can facilitate tolerance of patient’s death for family.

Determinants of death at home for terminally ill cancer patients include patient preference, family support; support from health systems after death of these patients at home, desire to using home care; policies of health system regarding palliative services; cultural and ethnical differences [30,31,32,33,34,35,36]. After the death of a patient with cancer, bereavement is carried out for 13 months for the patient’s family [37]