This chapter discusses the wider implications of the alternative forms of service delivery in the different units of the palliative care network. Palliative care as a specialist discipline is relatively new and is undergoing continuous revolution. Furthermore, it is deemed unethical to randomise patients who wish to receive specialist palliative care and there were no substantial studies on the ‘before and after’ aspects of palliative care, especially within the context of the evolution of the discipline. All of these make studies of alternative forms of service delivery challenging. Discussed in this chapter are the use of palliative care services, development of specialist palliative care services, and the costs of palliative care in the UK and US.
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