Hospital and emergency department use in the last year of life: a baseline for future modifications to end-of-life care

Claire E Johnson and Geoffrey K Mitchell
Med J Aust 2011; 195 (5): . || doi: 10.5694/mja11.10714
Published online: 5 September 2011

To the Editor: The research by Rosenwax and colleagues1 and Lowthian and colleagues2 published in the Journal highlights the need for increased capacity in end-of-life care within primary care to reduce the inappropriate use of acute health care services at the end of life. Providing high-quality care for people diagnosed with advanced chronic conditions is among the most complex challenges for general practitioners.3 GPs and other primary care providers are able to provide appropriate palliative and end-of-life care when they are well supported by relevant specialists.3 For patients to be well cared for in the community, it is also necessary for informal carers to have the strength, the will and the skill to provide such care, as well as timely access to support and medical care.

  • Claire E Johnson1
  • Geoffrey K Mitchell2

  • 1 University of Western Australia, Perth, WA.
  • 2 University of Queensland, Brisbane, QLD.


Competing interests:

No relevant disclosures.


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