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Viewing Hospice Decision Making as a Process.

Rafael D Romo1, Margaret I Wallhagen2, Alexander K Smith3

  • 1Department of Physiological Nursing, School of Nursing, University of California, San Francisco, CA, USA San Francisco Veterans' Affair Medical Center, Geriatrics, Palliative & Extended Care, San Francisco, CA, USA rafael.romo@ucsf.edu.

The American Journal of Hospice & Palliative Care
|January 31, 2015
PubMed
Summary
This summary is machine-generated.

Understanding hospice decision-making requires examining the evolving process, not just patient characteristics. This research proposes a new framework to better support end-of-life care decisions for all patients.

Keywords:
communicationdecision makingend-of-life carehospiceolder adultsprognosis

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Decision Science

Background:

  • Existing literature identifies hospice utilization factors but lacks insight into the decision-making process.
  • Understanding hospice choice is crucial for improving end-of-life care and patient support.

Purpose of the Study:

  • To propose a novel framework for understanding hospice decision-making as an evolving process.
  • To identify key factors influencing hospice decisions and the surrounding contextual environment.

Main Methods:

  • Systematic review and synthesis of existing literature on hospice decision-making.
  • Development of a conceptual framework integrating decision processes, influencing factors, and contextual elements.

Main Results:

  • Hospice decisions are dynamic and influenced by a complex interplay of factors.
  • A 'decision maker triad' and contextual environment are critical components of the decision process.

Conclusions:

  • The proposed framework offers a more comprehensive understanding of hospice decision-making.
  • This framework can guide clinical practice and future research to better meet end-of-life needs.