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Hospice Use Among Patients with Heart Failure
Sarah H Cross1, Arif H Kamal2,3, Donald H Taylor1,4,5
1Sanford School of Public Policy, Duke University Durham, NC, US.
Cardiac Failure Review
|June 11, 2019
Summary
Hospice care offers significant benefits but is underutilized for heart failure patients. This paper explores reasons for underuse and suggests improvements for hospice quality in heart failure management.
Area of Science:
- Cardiology
- Palliative Care
- Health Services Research
Background:
- Heart failure is a progressive condition requiring comprehensive symptom management.
- Hospice care provides specialized palliative support, yet its utilization in heart failure remains suboptimal.
- Understanding barriers to hospice adoption is crucial for improving end-of-life care in heart failure.
Purpose of the Study:
- To identify factors contributing to the underuse of hospice care among heart failure patients.
- To propose actionable recommendations for optimizing hospice care integration for this population.
- To suggest quality metrics for enhancing hospice services tailored to heart failure needs.
Main Methods:
- Literature review on hospice care utilization in heart failure.
- Analysis of existing data on patient and provider perspectives.
- Synthesis of expert recommendations and quality improvement frameworks.
Main Results:
- Key barriers include lack of awareness, prognostic uncertainty, and misaligned care goals.
- Recommendations focus on early integration, interdisciplinary communication, and patient-centered goal setting.
- Proposed metrics address symptom control, patient/family support, and care coordination.
Conclusions:
- Addressing identified barriers can increase appropriate hospice use in heart failure.
- Implementing proposed recommendations and metrics can enhance the quality of end-of-life care.
- Optimized hospice care can significantly improve quality of life for heart failure patients.
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