Palliative care: When and how, and what are the implications for global cancer policy?

This article provides an overview of the meaning of palliative and end-of-life care, and summarises the evidence for effectiveness and cost-effectiveness. Having established the need and effectiveness of palliative care, we identify the deficit in communication skills among clinicians, and the lack of investment in care and research. We then place palliative care in the global health context, with special reference to the gains made in sub-Saharan Africa. We conclude with the need for research investment to inform policy and to adequately respond to global need for effective palliative care.