The pattern of life, disease, dying and death has changed dramatically in Australia both over the last century and over the last several decades. In 1907 in Australia, 45,305 people died while the mean age of death was 41.1. In 2008, there were 143,932 deaths in Australia and the median age at death was 80.92.
Over the last 20 years in Australia the specialisation of palliativecare has advanced considerably. Palliative care is provided in almost all settings where health care is provided including neonatal units, paediatric services, acute hospitals, general practices, residential and community aged care services, and generalist community services.
Specialist palliative care services have a vital role in providing expert clinical advice particularly for those with complex symptoms requiring palliation, as well as the provision of direct care for a small number of patients and more broadly the provision of capacity building and support services to the broader health and human services sectors. Palliative care is also an intrinsic part of all health and human services in their overall responsibilities in providing comprehensive care to their clients.
The updated National Palliative Care Strategy will help ensure a nationally consistent and coordinated approach to the delivery of palliative care services across Australia. Four goal areas have been identified for the National Palliative Care Strategy 2010 :
* Awareness and Understanding
* Appropriateness and Effectiveness
* Leadership and Governance
* Capacity and Capability.