Future healthcare journal最新文献

Can versus should: Public expectation and the high-intervention death - A practical guide for clinicians. 可以与应该：公众期望与高干预死亡——临床医生的实用指南。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100518

Sophia Henderson, Calvin Lightbody, Mark Taubert

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引用次数: 0

Palliative medicine in 2050: how will people live the last part of life? 2050年的姑息医学：人们将如何度过生命的最后一部分？

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100512

Donna Wakefield, Sarah Perrott, George Turner, Libby Sallnow

引用次数: 0

The FHJ debate: Failure to produce anticipatory care plans should be a never event. FHJ辩论：未能制定预期护理计划应该是永远不会发生的事情。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100509

Calvin Lightbody, Derek Willis

{"title":"The FHJ debate: Failure to produce anticipatory care plans should be a never event.","authors":"Calvin Lightbody, Derek Willis","doi":"10.1016/j.fhj.2026.100509","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100509","url":null,"abstract":"This debate article examines whether a patient dying without an anticipatory care plan (ACP) or treatment escalation plan (TEP) should be considered a 'never event'. Writing in favour of the motion, an emergency medicine consultant argues that such omissions represent preventable harm - not born of negligence, but of system failure and cultural reluctance to plan for dying. Drawing on a 2018 BMJ Open study showing a three-fold increase in harms among patients without a TEP, he contends that anticipatory planning safeguards patients from non-beneficial interventions, reduces moral distress for staff, and restores dignity at life's end. A palliative medicine consultant, writing against the motion, challenges the framing of care planning as a universal requirement, warning that autonomy must include the right not to engage. He argues that making ACPs a 'never event' risks replacing one form of paternalism with another, and that dying is often too complex and unpredictable to be captured by documentation alone. In his rebuttal, the emergency medicine doctor acknowledges these ethical concerns but counters that the duty lies not in compelling discussion, but in ensuring that every patient is offered the opportunity to plan ahead. He distinguishes system omission from patient refusal, arguing that planning enables autonomy rather than restricts it. The palliative physician's closing response warns that the good intention to protect patients must never become coercion. Together, the debate explores the boundary between autonomy and safety, raising essential questions about how medicine can prevent avoidable harm while honouring individual choice at the end of life.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100509"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anticipating, recognising and talking about dying: Can we close the gap? 预测、认识和谈论死亡：我们能缩小差距吗？

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100510

Kathryn Mannix

引用次数: 0

Changing practice through the art of palliative care - An infographic guide. 通过姑息治疗艺术改变实践-信息图表指南。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100511

Tony Duffy, Monica Lalanda

引用次数: 0

The state of UK palliative care - time for change at scale and pace. 英国姑息治疗的现状——是时候改变规模和速度了。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100508

Paul Paes, Suzanne Kite

{"title":"The state of UK palliative care - time for change at scale and pace.","authors":"Paul Paes, Suzanne Kite","doi":"10.1016/j.fhj.2026.100508","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100508","url":null,"abstract":"After 60 years of development, palliative care services are fully embedded in local communities, raising awareness, delivering care and often also relying on local fundraising. Specialist palliative care teams are integrated within primary and community care services, as well as acute hospitals. Palliative care is shown to be cost effective, improving patient experience and reducing acute hospital bed days, saving money for the health service as long as patients access services early enough to make a difference. Unfortunately across the country, services are patchy with significant inequalities due to a lack of universal funding, clear outcomes and accountability. The likely implementation of Assisted Dying Bills brings to a head the likelihood that services that assist people to die will be available on the NHS, but not those services assisting people to live. The specialty is ready to embrace the shifts to community-based, preventative care driven through technological change. Palliative care has always been innovative and agile, focused on problem solving, relationship building and personalised care. Political leadership now could truly unlock the care of those towards the end of their life. A fully funded palliative care service with a clear national service framework backed by clear outcome measures could transform the quality of palliative and end of life care, offering patients real choice and true 'cradle to grave' care. With that in place, palliative care is ready to respond at a scale and pace not previously seen.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100508"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Let's talk about death and dying. 让我们来谈谈死亡和临终。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100519

Andrew Duncombe

引用次数: 0

Intimacy, rites and nuances: An in-depth discussion of the complexities and considerations in voluntary assisted dying in a UK and Australian context. 亲密，仪式和细微差别：在英国和澳大利亚的背景下，对自愿协助死亡的复杂性和考虑的深入讨论。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100517

Thomas Osborne, Katherine Sleeman, Lucy Easthope

{"title":"Intimacy, rites and nuances: An in-depth discussion of the complexities and considerations in voluntary assisted dying in a UK and Australian context.","authors":"Thomas Osborne, Katherine Sleeman, Lucy Easthope","doi":"10.1016/j.fhj.2026.100517","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100517","url":null,"abstract":"This is a video article. The authors specifically request that it should therefore be viewed as such. There is a transcription available in the article for accessibility purposes. The video approaches the issue of voluntary assisted dying (VAD) through the lens of a moderated discussion. It explores insights into daily operation of a system and how it operates alongside palliative care services in the Australian state of New South Wales. The participants discuss how policy has become situated and covers themes of gender differences in those accessing VAD; coercion; ineligibility; conscientious objection; and the enablement of the 'urgency' that can accompany a final decision. It also reflects on the relevance of the wider health and social care systems in place, and their quality, when establishing a right to VAD. This article takes a non-traditional format and does not reach any specific conclusions or recommendations. It does allow for a detailed analysis of intricacies and challenges that few will have considered in their thinking. All expressed views are authors' own and not those of their affiliated institution.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100517"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Everybody's business: insights into palliative and end-of-life care for clinicians who treat mortals (yes, that means you). 每个人的事：对治疗凡人的临床医生（是的，这意味着你）的姑息治疗和临终关怀的见解。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100522

Kathryn Mannix

引用次数: 0

Good care for older people at the end of life: Shared responsibilities, flexible boundaries. 对临终老人的良好照顾：分担责任，灵活的界限。

Future healthcare journal Pub Date : 2026-03-27 eCollection Date: 2026-03-01 DOI: 10.1016/j.fhj.2026.100515

Felicity Dewhurst, Polly M Edmonds, Rowan H Harwood, Daniel S Furmedge

{"title":"Good care for older people at the end of life: Shared responsibilities, flexible boundaries.","authors":"Felicity Dewhurst, Polly M Edmonds, Rowan H Harwood, Daniel S Furmedge","doi":"10.1016/j.fhj.2026.100515","DOIUrl":"https://doi.org/10.1016/j.fhj.2026.100515","url":null,"abstract":"The majority of deaths occur among older adults, many living with frailty, multimorbidity, disability and/or cognitive impairment. When care is organised around single diseases and episodic crises, people can experience fragmented, reactive care and burdensome interventions. We argue that good end-of-life care is a shared responsibility across settings, requiring flexible boundaries between geriatric medicine, palliative care, primary care, social care and the voluntary sector. Clinical vignettes illustrate challenges including prognostic uncertainty, treatment burden, transitions between services, and achieving preferred place of care and death. We propose neighbourhood-based, person-centred care that anticipates deterioration: shared decision-making and parallel planning; minimising treatment burden (including deprescribing); coordinated anticipatory care plans with accessible records; and timely care in the last months focused on comfort, dignity and family support. Delivery depends on appropriate funding and workforce capacity.","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 1","pages":"100515"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0