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Hospital Characteristics Associated with Palliative Care Program Prevalence
Maggie Rogers1, Diane E Meier1, R Sean Morrison2,3
1Center to Advance Palliative Care of the Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of Palliative Medicine
|May 1, 2020
Summary
Palliative care programs are available in most large U.S. hospitals, but access varies significantly by hospital type and location. Nonprofit and metropolitan hospitals are more likely to offer palliative care services.
Area of Science:
- Health Services Research
- Palliative Care
- Hospital Administration
Background:
- The number of hospitals offering palliative care has grown substantially over the last 20 years.
- Understanding current palliative care availability and its distribution is crucial for improving access.
Purpose of the Study:
- To analyze the availability of palliative care programs in U.S. hospitals.
- To examine how palliative care availability varies by hospital characteristics, socioeconomic factors, healthcare markets, and geography.
Main Methods:
- Utilized data from the American Hospital Association Annual Survey Database, U.S. Census Bureau, Dartmouth Atlas of Health Care, National Palliative Care Registry, and state directories.
- Employed multivariable logistic regression and average marginal effects to identify predictors of hospital palliative care programs.
Main Results:
- Seventy-two percent of hospitals with 50 or more beds reported having palliative care programs.
- Nonprofit hospitals (24.5 percentage points more likely) and hospitals in metropolitan areas (15.4 percentage points more likely) were significantly more likely to offer palliative care, controlling for other factors.
Conclusions:
- Palliative care availability in U.S. hospitals is influenced by hospital ownership type and geographic location (urban vs. rural).
- There is a need to enhance equitable and reliable access to quality palliative care nationwide.
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