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An integrated palliative approach to care may be more appropriate for Canada a more cost-efficient strategy may be to integrate a palliative approach to care throughout the health care system. such an approach would ensure that clinicians in all settings are able to: recognize when patients and families can benefit from hospice palliative interventions; provide appropriate services; and access support and advice from palliative care specialist physicians and/or nurses. This type of low-cost strategy could make it possible for the health care system to respond to patient and family needs in the home and local community, avoiding costly transfers to large urban hospitals and potentially unnecessary or unwanted curative interventions. this approach would mean not only “the right care at the right time” but also care in the settings that most patients prefer: in the home and community.