Worldwide, more than 50 million people die each year and it is estimated on the basis of the conditions leading to death that up to 60% of them could benefit from some form of palliative care. It is a public health challenge to ensure that these people can access good palliative or end-of-life care. Pursuing good population health essentially also implies striving for a 'good enough death' and a good quality of care at the end of life. Safeguarding a good quality of the end of life for patient populations for whom it is appropriate requires a public health approach.

In most developed countries ageing populations that increasingly die from chronic diseases after a prolonged -often degenerative- dying trajectory make up the public health challenges for palliative care. The very large baby boom generation will soon reach old age and can be expected to pose strong demands regarding the circumstances and care at their end of life. Only by applying a public health approach to palliative care (instead of individual patient perspectives), can societies successfully help to organize and plan end-of-life care in accordance with these aspirations.

A Public Health Perspective on End of Life Care presents a synthesis and overview of relevant research and empirical data on the end of life that can bear a basis for a more systematic 'public health of the end of life'. The book focuses on population health, rather than clinical interventions or other aspects of individual health, and discusses studies using different methodologies (not only epidemiological research). The focus is on the quality of the end-of-life of populations, in particular from social sciences, environmental sciences, and humanities perspectives.

Review

This book should be read by everyone involved in end-of-life care. Hopefully, this will result in a sequel in which policy makers, professionals from the curative sector and politicians answer the call of this volume. (European Journal of Public Health, Oct 2013)

It can be refreshing to read about something, something you may be well acquainted with, when it is viewed from a quite different perspective. This book is about palliative care as a public health issue and is 'concerned with the quality of end-of-life care of populations, not just the individuals within them.' (IAHPC Newsletter)

As a clinical nurse specialist, a hospice nurse for over 20 years, and a nurse educator before that, I was quite fascinated by this book. Actually, I could not put it down for long. It is technical in parts, but the global information is interesting. I do not know of any book that intermingles end of life, palliative care, public health, and disease trajectories so well. 4 Stars! (Doody's Reviews)

The authors, an impressive team of international researchers, administrators and clinicians working together, argue that it is necessary to have a public health perspective on palliative care to manage the demographic challenges we face, both nationally and globally. This book will be useful for planners of health services at all levels of health care. (Journal of the Norwegian Medical Association)

This book is the first of its kind in that it takes a unique look at the effect death has on modern society. In highlighting the inherent link between palliative and end-of-life care and public health, it starts the ball rolling, identifying a wide range of areas of palliative care that carry a public health message There is overlap in some of the chapters, but, rather than being grating, this acts to refresh what has recently been learned and to firm up ideas that are forming from previous chapters. Overall, this is an excellent book and one that should sit within the canon of palliative care reading. (European Journal of Palliative Care, Feb 2013)

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