The European Journal of Public Health Advance Access originally published online on March 28, 2007
The European Journal of Public Health 2007 17(4):331-332; doi:10.1093/eurpub/ckm003
© The Author 2007. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Commentary |
The end of life: unknown and unplanned?
Irene J Higginson1, Elizabeth Davies2 and Agis D Tsouros3
1 Department of Palliative Care, Policy and Rehabilitation King's College London, UK
2 Thames Cancer Registry, School of Medicine at Guy's King's College and St Thomas' Hospitals, UK
3 Centre for Urban Health, World Health Organization Copenhagen, Denmark
Correspondence: Professor Irene J Higginson, Department of Palliative Care, Policy and Rehabilitation, Weston Education Centre, Cutcombe Road, London, SE5 9RJ, UK, tel.: 0207 848 5516, fax: 0207 848 5517, e-mail: irene.higginson@kcl.ac.uk/ jennifer.lunan@kcl.ac.uk
Received October 9, 2006, accepted January 5, 2007
| The first 10% of the full text of this article appears below. |
In an age when we can map the human genome and communicate globally across the Internet, it is amazing how little we know about the experience of people towards the end of life. For those who die, we do not know how many feel pain at the end of life their lives, how many receive effective symptom control, how many die in the place they want to be cared for, or what the quality of their care is. We do not know how many families feel supported during or after the illness, or to what extent this strains them and their finances. We also do not know what it costs to care for people towards the end of their lives, although there are global concerns about the
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