{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:13:16Z","timestamp":1777918396604,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100021812","name":"sydney partnership for health, education, research and enterprise","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021812","id-type":"DOI","asserted-by":"publisher"}]},{"name":"St Vincent\u2019s Hospital Applied Medical Research"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Community Palliative Care Services, a limited resource, helps patients spend as much time at home as possible by managing their symptoms and supporting caregivers in the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To describe the characteristics of patients discharged alive from the Community Palliative Care Services and to determine the outcomes of those discharged alive, including overall survival, subsequent place of death, and health service use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting\/participants:<\/jats:title>\n                    <jats:p>Linked administrative clinical data were analysed for all adults discharged from an Australian metropolitan Community Palliative Care Services in Sydney between July 2010 and September 2018. That data comprised death records, ambulance, emergency, and hospital admissions. Factors associated with 30-day re-presentation to these services after discharge from the Community Palliative Care Services were examined using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 5270 community patients, 20% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091095) were alive at discharge. The median follow-up after the first discharge was 259 (95% CI 214\u2013287)\u2009days, with 40% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009454) of these having a subsequent community palliative care referral. Six hundred and sixty-four (61%) died within a year of discharge, and 45% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009495) died in the community. Patients who lived in private residences and who had a malignant disease had higher odds of 30-day hospital re-presentation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>As the demand for Community Palliative Care Services increases, delivering equitable and efficient services to patients with palliative care needs becomes challenging with limited resources. Factors associated with hospital readmission shortly after discharge from the Community Palliative Care Services should be further explored to determine interventions that may support patients and families in their illness trajectory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251393785","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T05:02:48Z","timestamp":1764651768000},"page":"95-104","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of patients discharged from a community palliative care service: A retrospective observational study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5964-1721","authenticated-orcid":false,"given":"Davinia S. E.","family":"Seah","sequence":"first","affiliation":[{"name":"IMPACCT-Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation, Faculty of Health, University of Technology Sydney, NSW, Australia"},{"name":"Sacred Heart Health Service, Sydney, NSW, Australia"},{"name":"St Vincent\u2019s Clinical School, University of New South Wales, Sydney, Australia"},{"name":"University of Notre Dame Australia, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9555-0261","authenticated-orcid":false,"given":"Sanja","family":"Lujic","sequence":"additional","affiliation":[{"name":"Centre for Big Data Research in Health, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sungwon","family":"Chang","sequence":"additional","affiliation":[{"name":"IMPACCT-Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation, Faculty of Health, University of Technology Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Currow","sequence":"additional","affiliation":[{"name":"IMPACCT-Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation, Faculty of Health, University of Technology Sydney, NSW, Australia"},{"name":"Flinders Ageing Alliance, Flinders University, Bedford Park, South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy","family":"Eagar","sequence":"additional","affiliation":[{"name":"Queensland University of Technology, Brisbane City, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"database.earth. Global Population Deaths https:\/\/database.earth\/population\/deaths (2024 accessed 30th Jul 2025)."},{"key":"e_1_3_3_3_2","article-title":"Early palliative care for adults with advanced cancer","volume":"6","author":"Haun MW","year":"2017","unstructured":"Haun MW, Estel S, R\u00fccker G, et al Early palliative care for adults with advanced cancer. Cochrane Database Syst Rev 2017; 6: Cd011129.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_4_2","unstructured":"Australian Government. Australia to 2050: future challenges. 2010. https:\/\/treasury.gov.au\/sites\/default\/files\/2019-03\/IGR_2010_Overview.pdf"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2012-000361"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0403"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315576309"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0185275"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-017-0256-2"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0417"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.11.021"},{"key":"e_1_3_3_12_2","article-title":"Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers","volume":"2013","author":"Gomes B","year":"2013","unstructured":"Gomes B, Calanzani N, Curiale V, et al Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database Syst Rev 2013; 2013: CD007760.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7498.1007"},{"key":"e_1_3_3_14_2","author":"Palliative Care Australia","year":"2018","unstructured":"Palliative Care Australia. Palliative care service development guidelines. 2018. PalliativeCare-Service-Delivery-2018_web2.pdf","journal-title":"Palliative care service development guidelines"},{"key":"e_1_3_3_15_2","unstructured":"Australian Bureau of Statistics. Classifying Place of Death in Australian Mortality Statistics https:\/\/www.abs.gov.au\/statistics\/research\/classifying-place-death-australian-mortality-statistics (2021 accessed 25 October 2021)."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2015.0138"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0612"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0305"},{"key":"e_1_3_3_19_2","unstructured":"Centers for Medicare & Medicaid Services. Hospital Readmission Reduction Program https:\/\/www.cms.gov\/medicare\/payment\/prospective-payment-systems\/acute-inpatient-pps\/hospital-readmissions-reduction-program-hrrp (2025 accessed 12 November 2025)."},{"key":"e_1_3_3_20_2","unstructured":"NSW Health. Guide to the role delineation of clinical services. 2024. https:\/\/www.health.nsw.gov.au\/services\/Publications\/role-delineation-of-clinical-services.PDF"},{"key":"e_1_3_3_21_2","unstructured":"Centre for Health Record Linkage. Data Dictionaries https:\/\/www.cherel.org.au\/datasets (accessed 12 November 2025)."},{"key":"e_1_3_3_22_2","unstructured":"Australian Bureau of Statistics. Census Population and Housing: Socio-Economic Indexes for Areas (SEIFA) 2033.0.55.001 https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/2033.0.55.001 (2016)."},{"key":"e_1_3_3_23_2","unstructured":"Department of Health DaA. About residential aged care https:\/\/www.health.gov.au\/our-work\/residential-aged-care\/about-residential-aged-care (2025 accessed 29th Jul 2025)."},{"key":"e_1_3_3_24_2","unstructured":"Australian Taxation Office. Retirement villages and occupancy arrangements. https:\/\/www.ato.gov.au\/businesses-and-organisations\/assets-and-property\/retirement-villages-and-tax\/retirement-villages-and-occupancy-arrangements (2025 accessed 29 July 2025)."},{"key":"e_1_3_3_25_2","unstructured":"Australian Bureau of Statistics. Type of non-private dwelling https:\/\/www.abs.gov.au\/census\/guide-census-data\/census-dictionary\/2021\/variables-topic\/housing\/type-non-private-dwelling-npdd (2021 accessed 19 July 2025)."},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.11.024"},{"key":"e_1_3_3_28_2","unstructured":"Australian Institute of Health and Welfare. Interfaces between the aged care and health systems in Australia- where do older Australians die? 2021. https:\/\/www.gen-agedcaredata.gov.au\/getmedia\/269ddea5-fa8d-4b78-9e1b-c8f41c999c2b\/Interfaces-between-the-aged-care-and-health-systems-in-Australia-where-do-older-Australians-die.pdf"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2004.10.1.12016"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0080"},{"key":"e_1_3_3_31_2","unstructured":"Australian Bureau of Statistics. Socio-Economic Indexes for Areas (SEIFA) Australia https:\/\/www.abs.gov.au\/statistics\/people\/people-and-communities\/socio-economic-indexes-areas-seifa-australia\/2021 (2021 accessed 28 November 2023)."}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163251393785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163251393785","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163251393785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:38:01Z","timestamp":1777660681000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163251393785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/02692163251393785"],"URL":"https:\/\/doi.org\/10.1177\/02692163251393785","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}