Why failures…..? Lack of clarity Poor methodology Poor infrastructure
Supportive and Palliative Care Organisation Workforce Infrastructure Small, fragmented groups Lack of training, funds Minimal access to resource
“Difficult to research” crux ? Do nothing………or Anything goes?
Best patient care From knowledge to practice Ignorance Pattern Recognition Organized Observation Collateral knowledge Trials Certainty
Research Question Large scale study Education Training Systematic Review Clinical Trials Unit Academic qualification Patient Involvement Recruitment Methodology Outcome measurement Dissemination Change in practice Driver Opportunity Infrastructure Skilled workforce Publication Facilitated learning