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Research Letter| Volume 21, ISSUE 9, P1353-1354, September 2020

Gold Standards Framework Can Identify Primary Care Patients Who Would Benefit from a Palliative Approach

      Brunei is a rapidly “graying” population, where the number of people aged 65 years and older increased from 17,800 to 22,600 from 2015 to 2017, respectively. In 2017, the crude death rate was 4%, equating to 1696 deaths per year. Of these, 52.5% of the total deaths were comprised of noncommunicable diseases, namely cancer, heart disease, diabetes mellitus, and cerebrovascular disease.
      Ministry of Health Brunei Darussalam
      Health Information Booklet. 2017.
      Development of palliative care services is necessary to improve the quality of life of patients and their families facing life-threatening illnesses. This requires early identification, assessment, and treatment of physical, psychosocial, and spiritual issues to prevent and relieve suffering.
      World Health Organization
      The solid facts: palliative care. WHO. [Internet]. 2004.
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      References

        • Ministry of Health Brunei Darussalam
        Health Information Booklet. 2017.
        (Available at:)
        • World Health Organization
        The solid facts: palliative care. WHO. [Internet]. 2004.
        (Available at:)
        • Royal College of General Practitioners
        The GSF Prognostic Indicator Guidance. 4th ed. October 2011.
        (Available at:)
        • The Gold Standards Framework and Royal College of General Practitioners
        The GSF Prognostic Indicator Guidance. The National GSF Centre’s guidance for clinicians to support earlier recognition of patients nearing the end of life. 4th edition. October 2011.
        (Available at:)
        • King N.
        • Thomas K.
        • Martin N.
        • et al.
        ‘Now nobody falls through the net’: practitioners’ perspectives on the Gold Standards Framework for community palliative care.
        Palliat Med. 2005; 19: 619-627
        • Teo S.P.
        • Chong J.X.
        • Venkatasalu M.R.
        Internationalisation of Gold Standards Framework use in primary health care.
        Age Ageing. 2018; 47: 762