The Prevalence of Inpatients at 33 U.S. Hospitals Appropriate for and Receiving Referral to Palliative Care

Journal of Palliative Medicine
Marilyn K SzekendiMark V Williams

Abstract

The extent of unmet need for palliative care in U.S. hospitals remains largely unknown. We conducted a multisite cross-sectional, retrospective point prevalence analysis to determine the size and characteristics of the population of inpatients at 33 U.S. hospitals who were appropriate for palliative care referral, as well as the percentage of these patients who were referred for and/or received palliative care services. We also conducted a qualitative assessment of barriers and facilitators to referral, focusing on organizational characteristics that might influence palliative care referral practices. Patients appropriate for palliative care referral were defined as adult (≥18 years) patients with any diagnosis of a poor-prognosis cancer, New York Heart Association class IV congestive heart failure, or oxygen-dependent chronic obstructive pulmonary disease who had inpatient status in 1 of 33 hospitals on May 13, 2014. Qualitative assessment involved interviews of palliative care team members and nonpalliative care frontline providers. Nearly 19% of inpatients on the point prevalence day were deemed appropriate for palliative care referral. Of these, approximately 39% received a palliative care referral or services. Delivery of ...Continue Reading

References

Aug 1, 2006·Palliative Medicine·L K Rosenwax, B A McNamara
Aug 15, 2006·Palliative Medicine·Barbara HanrattyAndrea Litva
Jul 5, 2007·Journal of the American Geriatrics Society·Richard BrumleyJorge Gonzalez
Sep 10, 2008·Archives of Internal Medicine·R Sean MorrisonUNKNOWN Palliative Care Leadership Centers' Outcomes Group
Oct 22, 2008·Annals of Emergency Medicine·Alexander K SmithEllen P McCarthy
May 23, 2009·Palliative Medicine·S C Ahluwalia, T R Fried
Feb 13, 2010·Health Services Research·Gerald F Riley, James D Lubitz
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Dec 24, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Corita R GrudzenR Sean Morrison
Nov 23, 2011·Journal of Pain and Symptom Management·David HuiEduardo Bruera
Jan 10, 2012·Intensive Care Medicine·Daniel Neves ForteMarcelo Park
Aug 24, 2012·Journal of Palliative Medicine·Tammie E QuestRobert Zalenski
Jan 12, 2013·Journal of Palliative Medicine·Sangeeta LambaSandra R Scott
Feb 7, 2013·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Mar 8, 2013·The New England Journal of Medicine·Timothy E Quill, Amy P Abernethy
Jul 3, 2013·Respiratory Medicine·Kim BeernaertLieve Van den Block
Aug 27, 2013·Journal of Palliative Medicine·Frances M WuAbraham A Brody
Nov 15, 2013·Journal of Palliative Medicine·Michael RabowDavid Weissman
Nov 23, 2013·American Journal of Respiratory and Critical Care Medicine·May S HuaHannah Wunsch
Apr 30, 2014·BMJ Supportive & Palliative Care·Robert ZalenskiDavid Kaufman
Nov 14, 2014·Journal of Oncology Practice·Paul A Glare, Kimberly Chow
Feb 3, 2015·Annals of Internal Medicine·Adam E SingerKarl A Lorenz

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Citations

Jun 28, 2016·Annals of the American Thoracic Society·Katherine R CourtrightScott D Halpern
Dec 8, 2016·Journal of Palliative Medicine·May HuaHannah Wunsch
Jun 20, 2017·Journal of Palliative Medicine·Joan D PenrodR Sean Morrison
Apr 2, 2016·Journal of Palliative Medicine·Laura C Hanson
Feb 14, 2019·BJU International·Lee A HugarBruce L Jacobs
Jan 25, 2020·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Tammy Neiman
Jun 5, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jinhai HuoJiang Bian
Jun 23, 2020·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Lorraine Burgunder-ZdravkovskiMarilyn Filter
Sep 10, 2020·Circulation. Heart Failure·Yuchieh Kathryn ChangDavid Hui
Jun 21, 2020·BMJ Supportive & Palliative Care·Jee Whang KimAndrew Wilson
Jul 15, 2020·The American Journal of Hospice & Palliative Care·Joanne M StubbsPoorani Muruganantham
Oct 28, 2020·The American Journal of Hospice & Palliative Care·Salimah H MeghaniFrances K Barg
Dec 17, 2020·Health Information Management : Journal of the Health Information Management Association of Australia·Joanne M StubbsPoorani Muruganantham
Sep 16, 2020·Journal of Pain and Symptom Management·Shelli L FederKathleen M Akgün
Mar 25, 2020·Journal of Pain and Symptom Management·Salim N Najjar, Fern R Hauck
Apr 28, 2018·Journal of the American College of Cardiology·Eiran Z GorodeskiUNKNOWN Geriatric Cardiology Section Leadership Council, American College of Cardiology
Aug 28, 2018·Journal of Pain and Symptom Management·Nathan A BoucherDonald H Taylor

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