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The need for increased access to pediatric hospice and palliative care
1Mountain States Health Alliance Hospice, 101 Med Tech Parkway, Suite 100, Johnson City, TN 37604, USA. bjones02@atsu.edu
Insights
Pediatric hospice and palliative care are underutilized due to confusion and lack of training. Addressing barriers and recent legal changes can improve end-of-life care for children and families.
Area of Science:
- Pediatric Palliative Care
- End-of-Life Care Research
Background:
- Pediatric hospice and palliative care models remain significantly underutilized.
- There is widespread confusion distinguishing between hospice and palliative care services.
- Healthcare professionals, including nurses and physicians, require specialized training in pediatric end-of-life care.
Purpose of the Study:
- To identify barriers hindering the utilization of pediatric hospice and palliative care.
- To propose strategies for overcoming these barriers.
- To highlight recent healthcare law changes impacting concurrent curative and hospice care.
Main Methods:
- Literature review on existing barriers to pediatric palliative care.
- Analysis of current training needs for healthcare professionals.
- Examination of recent legislative changes affecting end-of-life care options.
Main Results:
- Significant barriers impede the adoption of pediatric hospice and palliative care.
- Specialized training is crucial for effective end-of-life care delivery in pediatrics.
- Recent legal reforms permit simultaneous provision of curative and hospice care.
Conclusions:
- Underutilization of pediatric palliative care leads to avoidable suffering for children and families.
- Overcoming identified barriers and leveraging new healthcare laws are essential for improving care.
- Enhanced training and clearer service definitions are necessary to optimize pediatric end-of-life support.
Abstract:
Pediatric hospice and palliative care continue to be an underutilized model of care. There is much confusion over the differences between hospice and palliative care. Nurses and physicians continue to need specialized training regarding end-of-life care and the pediatric population. Children and their families may needlessly be suffering during the dying process. Many barriers exist that prevent its use among medical professionals. This article discusses some of these barriers and strategies to reduce them. Recent changes in health care law will allow both curative and hospice care to be provided at the same time.
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