{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:53:14Z","timestamp":1777935194754,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000037","name":"Institute of Health Services and Policy Research","doi-asserted-by":"crossref","award":["PO4-187027."],"award-info":[{"award-number":["PO4-187027."]}],"id":[{"id":"10.13039\/501100000037","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care is essential yet underutilized in Canada. Inconsistent definitions and fee codes across provinces\/territories hinder effective comparative analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Explore palliative care definitions and fee codes in Canada by examining the provincial\/territorial schedules of benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We conducted a narrative review of provincial\/territorial schedules of benefits, focusing on palliative care definitions and fee codes. Qualitative comparative analysis was performed on the definitions, and descriptive statistical analysis was conducted on the fee codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>The study reviewed schedules of benefits from 11 Canadian provinces and territories, excluding Quebec and Nunavut.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>About 7\/11 (64%) provinces\/territories published definitions for palliative care, typically characterizing it as terminal, focusing on comfort, and providing a time-based prognosis. The number of specific palliative care fee codes varied from 4 to 32.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There is substantial variability in the definition and fee codes used for physician-delivered palliative care across Canada. A standardized national framework for palliative care definitions and fee codes could improve access and care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251386947","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:14:25Z","timestamp":1760022865000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Definitions of Physician-Delivered Palliative Care in Canada: A Narrative Review"],"prefix":"10.1177","author":[{"given":"John M.","family":"Lapp","sequence":"first","affiliation":[{"name":"Department of Medicine, Sinai Health and University Health Network, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Media","family":"Mokhtarnia","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sinai Health and University Health Network, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kieran L.","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Sinai Health and University Health Network, Toronto, Canada."},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada."},{"name":"ICES, Toronto, Canada."},{"name":"Department of Medicine, Temerty Faculty of Medicine, Toronto, Canada."},{"name":"Temmy Latner Centre for Palliative Care, Sinai Health System, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318780223"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.0677"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0416"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.40977"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.16840"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30172-X"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0387"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.171126"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009255"},{"key":"e_1_3_4_11_2","unstructured":"Access to palliative care in Canada. n.d. Available from: https:\/\/www.cihi.ca\/en\/access-to-palliative-care-in-canada [Last accessed: June18 2024]."},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318815794"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493466"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-021-00631-x"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221099021"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.15015"},{"key":"e_1_3_4_18_2","unstructured":"Palliative care. n.d. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care [Last accessed: January19 2025]."},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161407"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249763"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218251386947","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251386947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218251386947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:48:45Z","timestamp":1777690125000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218251386947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":19,"alternative-id":["10.1177\/10966218251386947"],"URL":"https:\/\/doi.org\/10.1177\/10966218251386947","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"article-number":"10966218251386947"}}