Is a palliative care fellow at the University of Toronto, based in Toronto, ON. She is interested in improving the accessibility of palliative care for structurally vulnerable populations. Nicole can be reached by e-mail at
Is a palliative care physician at the Department of Family and Community Medicine of St Michael's Hospital at Unity Health Toronto and an assistant professor at the University of Toronto, based in Toronto, ON. A health justice activist, Naheed is the founder and lead physician of the PEACH program at ICHA.
Healthc Q. 2023 Apr;26(1):24-30. doi: 10.12927/hcq.2023.27055.
The Palliative Education and Care for the Homeless (PEACH) program comprises a community palliative care team serving some of the most complex clients in the healthcare system. Formal partnerships bring together physician, nursing, psychosocial and homecare, health and housing navigation supports. PEACH has served over 1,000 clients, leading field-defining research, medical education and public advocacy. The PEACH program demonstrates that innovation through deep interorganizational and intersectoral integration can drive value-based impact for the most complex clients, providing instructive lessons for public health system reform well beyond the margins faced by people who are unhoused. This paper describes how PEACH's unique model, critical community partnerships and research have been necessary for it to become a leader in community-based palliative care for structurally vulnerable people.
PEACH 项目由一个社区姑息治疗团队组成，为医疗体系中一些最复杂的患者提供服务。正式的合作关系将医生、护理、心理社会和家庭护理、健康和住房导航支持结合在一起。PEACH 已经为超过 1000 名患者提供了服务，引领了领域内的定义研究、医学教育和公共宣传。PEACH 项目表明，通过深度的组织间和部门间整合进行创新，可以为最复杂的患者带来基于价值的影响，为公共卫生系统改革提供了有益的经验教训，远远超出了无家可归者面临的边缘问题。本文描述了 PEACH 独特的模式、关键的社区伙伴关系和研究如何使其成为结构性弱势群体社区姑息治疗的领导者。
