Journal ArticleDOI
Barriers to hospice care in Alabama: provider-based perceptions.
Todd M. Jenkins,Kathryn Chapman,Christine S. Ritchie,Donna K. Arnett,Gerald McGwin,Stacey S. Cofield,H. Micheal Maetz +6 more
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TLDR
Most providers considered physicians and health care professionals to be somewhat knowledgeable of hospice, but also indicated a lack of knowledge constituted the barrier with the most impact in their communities.Abstract:
Few studies have evaluated barriers to hospice from a hospice provider perspective. We assessed such views via a postal survey to all licensed hospices in Alabama (N = 193)—response = 55.4%. Most providers considered physicians and health care professionals to be somewhat knowledgeable of hospice, but also indicated a lack of knowledge constituted the barrier with the most impact in their communities. Respondents also cited physician difficulties with discussing end of life with patients and prognosticating death within 6 months as leading barriers. Providers also described Medicare reimbursement cap issues that have resulted in barriers to hospice. Our findings were similar to previous investigations assessing provider perceptions. Future studies should explore how reimbursement cap issues affect the receipt and delivery of hospice care.read more
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Journal ArticleDOI
A case study of a theory-based method for identifying and reporting core functions and forms of evidence-based interventions.
M. Alexis Kirk,Emily R. Haines,Franziska Rokoske,Byron J. Powell,Morris Weinberger,Laura C. Hanson,Sarah A. Birken +6 more
TL;DR: A case study of theory-based methods that could be used by researchers or practitioners to identify core functions and forms of EBIs post hoc, rooted in the Planned Adaptation Model.
Journal ArticleDOI
On Hospice Operations Under Medicare Reimbursement Policies
TL;DR: In this article, the authors analyzed the United States Medicare hospice reimbursement policy and found several unintended consequences of the Medicare reimbursement policy, such as short-lived patients (such as cancer patients) over patients with longer expected lengths of stay.
Journal ArticleDOI
Impact of palliative care consultative service on disease awareness for patients with terminal cancer
Wen-Chi Chou,Yu-Shin Hung,Chen-Yi Kao,Po-Jung Su,Chia-Hsun Hsieh,Jen-Shi Chen,Chi-Ting Liau,Yung-Chang Lin,Chuang-Chi Liaw,Hung-Ming Wang +9 more
TL;DR: How palliative care consultative service (PCCS) affects patient disease awareness and who may benefit from such services in Taiwan is evaluated and the promotion of PCCS increased disease awareness among terminally ill cancer patients in Taiwan.
Journal ArticleDOI
Political economy of hope as a cultural facet of biomedicalization: A qualitative examination of constraints to hospice utilization among U.S. end-stage cancer patients.
TL;DR: It is found that hospice underutilization results from a web of interconnected constraints surrounding end-stage cancer patients, which reveals how hospice care contradicts the political and economic structures associated with end- Stage cancer care and illustrates how end-Stage cancer patients are transformed into a form of biovalue, a fundamental commodity sustaining the political economy of hope.
Journal ArticleDOI
Planning Ahead: Using the Theory of Planned Behavior to Predict Older Adults' Intentions to Use Hospice if Faced With Terminal Illness.
TL;DR: Higher hospice knowledge, normative beliefs that support hospice utilization, higher perceived control to use hospice, and preferences for end-of-life care that favor comfort and quality of life over living as long as possible were significant predictors of intentions to use Hospice.
References
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Book
Approaching Death : Improving Care at the End of Life
TL;DR: The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Journal ArticleDOI
Barriers to hospice care and referrals: survey of physicians' knowledge, attitudes, and perceptions in a health maintenance organization.
TL;DR: It is shown that barriers to hospice referral are similar to those in non-HMO settings; physicians have difficulty predicting life expectancy and lack knowledge of patient eligibility guidelines.
Journal ArticleDOI
Barriers and enablers to hospice referrals: an expert overview.
TL;DR: The research provided powerful validation of trends that hospice and palliative care providers in the trenches have been describing anecdotally for several years, and could be used to develop a toolkit for hospices and palledative care organizations to assist them with marketing and physician outreach.
Journal ArticleDOI
Barriers to physicians' decisions to discuss hospice: insights gained from the United States hospice model
TL;DR: This article will focus on barriers physicians have more control over, such as their discomfort discussing terminality and fear of losing contact with patients, to discern whether the factors physicians claim are barriers actually affect their decision making about hospice referral.
Journal Article
Access to hospice care. Expanding boundaries, overcoming barriers.
TL;DR: The challenge is to find new practical approaches to hospice care, building on the strengths that this movement has developed over the years and correcting those policies and practices that have shown themselves to be unduly restrictive, unworkable, or unwise.