Edmonton, Canada: a regional model of palliative care development. 
Palliative care developed unevenly in Edmonton in the 1980s and early 1990s.  Health care budget cuts created an opportunity for innovative redesign of palliative care service delivery.  This report describes the components that were developed to build an integrated comprehensive palliative care program, the use of common clinical assessments and outcome evaluation that has been key to establishing credibility and ongoing support.  Our program has continued to develop and grow with an ongoing focus on the core areas of clinical care, education, and research.