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Improving Access to Palliative Care at a VHA Hospital
Carrie A Cromwell1, Beatrice Edwards1, Alice L March1
120120Central Texas Veterans Health Care System, Temple, TX, USA.
The American Journal of Hospice & Palliative Care
|October 8, 2020
Summary
Veteran acceptance of palliative care is influenced by knowledge, environment, satisfaction, technology, and resilience. Understanding these factors can improve care for seriously ill veterans.
Area of Science:
- Palliative Care
- Veteran Health
- Qualitative Research
Background:
- Palliative care services are crucial for seriously ill veterans.
- Veteran-specific factors influencing palliative care acceptance require exploration.
- Optimizing palliative care delivery within the Veterans Health Administration (VHA) is a priority.
Purpose of the Study:
- To identify veteran-specific factors that impact the acceptance of palliative care services.
- To understand barriers and facilitators to palliative care engagement among veterans.
- To inform interventions aimed at improving palliative care access for veterans.
Main Methods:
- Conducted prospective, one-on-one interviews with 18 inpatient veterans receiving palliative care consults.
- Evaluated domains including knowledge deficit, emotional, physical, and psychosocial barriers, and physical support.
- Analyzed interview responses using a qualitative directed content analysis approach.
Main Results:
- Key themes influencing participation included: Knowledge Deficit, Environmental Factors, Positive Patient Satisfaction, Openness to Technology, and Resiliency.
- Interviewed veterans had an average age of 71 years.
- The average distance of veterans from the hospital was 59 miles.
Conclusions:
- Identifying factors affecting veteran access to palliative care is essential for developing targeted interventions.
- Facilitating access to palliative care can significantly enhance the care of seriously ill veterans.
- Improved understanding of veteran-specific needs can lead to better palliative care outcomes.
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