Video palliative care as an equivalent default option for patients far from a team
A large trial showed that palliative care delivered by video works as well as in person for people with advanced lung cancer. Payers should cover it so that distance from a hospital no longer decides who gets it.
The REACH PC trial (Greer and colleagues, reported 2024) found that early palliative care delivered by video was equivalent to in-person care on quality of life in advanced non-small-cell lung cancer. Most palliative care teams are in cities; most patients are not. Making video delivery a reimbursed, guideline-endorsed default, with in-person visits when needed, would extend the reach of a scarce workforce.
- Pain relief and palliative care are unavailable to most · Most people who die of cancer worldwide do so without adequate pain relief.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
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