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Barriers to hospice care in Alabama: provider-based perceptions
Todd M Jenkins1, Kathryn L Chapman, Christine S Ritchie
1Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. todd.jenkins@cchmc.org
The American Journal of Hospice & Palliative Care
|August 31, 2010
Summary
Hospice providers in Alabama identified a lack of physician knowledge and difficulties discussing end-of-life care as key barriers. Medicare reimbursement caps also pose challenges to hospice access and delivery.
Area of Science:
- Palliative Care
- Health Services Research
Background:
- Limited research exists on hospice barriers from the provider viewpoint.
- Understanding these barriers is crucial for improving end-of-life care access.
Purpose of the Study:
- To assess hospice provider perspectives on barriers to hospice care in Alabama.
- To identify key challenges hindering hospice utilization and delivery.
Main Methods:
- A postal survey was distributed to all 193 licensed hospices in Alabama.
- A 55.4% response rate was achieved, yielding valuable provider insights.
Main Results:
- Lack of physician and healthcare professional knowledge was cited as the most impactful barrier.
- Physician challenges in end-of-life discussions and prognostication were significant barriers.
- Medicare reimbursement cap issues were identified as contributing to hospice barriers.
Conclusions:
- Provider perceptions highlight knowledge gaps and physician-related difficulties as primary hospice barriers.
- Medicare reimbursement policies present a significant obstacle to hospice care.
- Further research is needed to understand the impact of reimbursement caps on hospice services.
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