Issues related to providing quality pediatric palliative care in the community

Pediatr Clin North Am. 2007 Oct;54(5):813-27, xiii. doi: 10.1016/j.pcl.2007.06.002.


The medical practitioner in the community is in a unique position to assist children and their families from the time of diagnosis with a life-threatening condition through to the end of life. The purpose of this article is to inform medical practitioners who care for children with complex, chronic, and life-limiting conditions about pediatric palliative care in the community. It is intended as a guide to improve understanding about (1) the misconceptions and barriers surrounding the provision of care in the community for children with chronic, complex, and life-limiting conditions; (2) the availability of services for care in the community; (3) challenges concerning out-of hospital do-not-attempt-resuscitation orders for children; and (4) reimbursement issues that impact the provision of care.

Publication types

  • Review

MeSH terms

  • Child
  • Community Health Services / standards*
  • Home Care Services / standards
  • Hospice Care / standards
  • Humans
  • Insurance, Health, Reimbursement
  • Palliative Care / standards*
  • Pediatrics
  • Quality of Health Care / standards*