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Related Concept Videos

Continuing Care01:25

Continuing Care

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Introduction To Health Care Delivery System01:18

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Planning Nursing Care I01:21

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A National Strategy For Palliative Care.

Diane E Meier1, Anthony L Back2, Amy Berman3

  • 1Diane E. Meier (diane.meier@mssm.edu) is director of the Center to Advance Palliative Care and a professor in the Department of Geriatrics and Palliative Medicine, both at the Icahn School of Medicine at Mount Sinai, in New York City.

Health Affairs (Project Hope)
|July 7, 2017
PubMed
Summary
This summary is machine-generated.

The World Health Organization recommends palliative care for all, but in the US, access is limited, especially for those with serious illnesses living at home. A national strategy is needed to improve palliative care integration and accessibility.

Keywords:
national strategypalliative careserious illness

Related Experiment Videos

Area of Science:

  • Health Services Research
  • Palliative Care Medicine
  • Public Health Policy

Background:

  • The World Health Organization (WHO) advocated for integrating palliative care into the healthcare continuum in 2014.
  • Current US palliative care services are predominantly hospital-based, with hospice care restricted to the terminally ill.
  • Most Americans with serious illnesses, living at home or in facilities, lack adequate access to palliative care.

Purpose of the Study:

  • To highlight the critical need for a national palliative care strategy in the United States.
  • To address the gap in palliative care access for individuals with serious illnesses.
  • To propose a framework for developing and implementing an actionable national strategy.

Main Methods:

  • Reviewing international palliative care approaches.
  • Identifying key stakeholders for strategy development and implementation.
  • Examining analogous US national health initiatives for implementation insights.

Main Results:

  • Significant disparities exist in palliative care access across the US.
  • Healthcare providers often lack essential palliative care skills (pain management, communication, coordination).
  • Public and professional awareness of palliative care benefits and access points remains low.

Conclusions:

  • A comprehensive national palliative care strategy is essential to ensure equitable access to high-quality care for Americans with serious illnesses.
  • Policy support is crucial to overcome barriers and reduce preventable suffering.
  • Leveraging international models and domestic health initiatives can inform effective strategy implementation.