Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.
| Autor: | Cole CS; University of Colorado School of Medicine, Aurora, CO, USA., Jackson A; University of Maryland School of Nursing, Baltimore, MD, USA., Bennett CR; Mayo Clinic, Phoenix, AZ, USA., Fink RM; University of Colorado School of Medicine, Aurora, CO, USA.; University of Colorado College of Nursing, Aurora, CO, USA., Unroe KT; School of Medicine, Indiana University, Indianapolis, IN, USA.; IU Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA., Levy CR; University of Colorado School of Medicine, Aurora, CO, USA., Carpenter JG; University of Maryland School of Nursing, Baltimore, MD, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Oct 21, pp. 7334648241286326. Date of Electronic Publication: 2024 Oct 21. |
| DOI: | 10.1177/07334648241286326 |
| Abstrakt: | Despite evidence that specialized care for seriously ill nursing home (NH) residents is needed, barriers to accessing palliative care (PC) remain. A significant issue is the complexity of the referral process that inhibits timely and equitable access to care. This qualitative descriptive study explored the PC referral process in NHs. Using rapid qualitative analysis with semi-structured interview data from NH staff, primary care, and specialty PC providers ( N = 17) in six states, this study outlines a multistep referral process along with barriers and proposed solutions. Key recommendations include comprehensive PC education program development, implementation of an evidence-based PC screening tool, and the holistic integration of PC services in NHs. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Connie S. Cole: no conflicts of interest. C. Robert Bennett: no conflicts of interest. Joan G. Carpenter: no conflicts of interest. Regina M. Fink: no conflicts of interest. Amy Jackson: no conflicts of interest. Kathleen T. Unroe: Dr Unroe is the founder of Probari, Inc, a healthcare startup supporting high quality NH care. Cari R. Levy: no conflicts of interest. |
| Databáze: | MEDLINE |
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