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Hospice program integration: an issue for policymakers.

L F Paradis

    Death Education
    |December 12, 1983
    PubMed
    Summary

    As hospice programs expand, integration into mainstream medical care alters their structure and services. However, this integration does not negatively impact the quality of care or patient satisfaction for the terminally ill.

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    Area of Science:

    • Healthcare Management
    • Palliative Care Research
    • Sociology of Health

    Background:

    • The number of hospice programs in the U.S. is increasing, raising policy questions about their unique approach, cost-effectiveness, and integration into mainstream medical care.
    • Policymakers are evaluating the evolving role and impact of hospice services on the terminally ill population.

    Purpose of the Study:

    • To explore hospice program integration strategies within the mainstream medical care system.
    • To examine conflicts among hospice care providers during integration.
    • To assess the impact of hospice program integration on patient care quality and satisfaction.

    Main Methods:

    • Analysis of data from hospice programs in an industrialized Midwestern state.
    • Examination of organizational changes, provider conflicts, and patient care outcomes associated with hospice integration.

    Main Results:

    • Hospice program integration into mainstream medical care has led to altered organizational structures and changes in patient services.
    • Some of the initial idealism of hospice programs has diminished with increased integration.
    • No evidence suggests that integration has decreased the quality of patient care or patient satisfaction.

    Conclusions:

    • While hospice programs adapt to mainstream medical integration, potentially losing some founding idealism, patient care quality and satisfaction remain unaffected.
    • Hospice integration presents a complex interplay between organizational evolution and the consistent delivery of quality end-of-life care.
    • Further research is needed to fully understand the long-term implications of hospice integration on palliative care delivery.
    Keywords:
    Death and EuthanasiaEmpirical Approach

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