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Social Model Hospice Home: A Concept Analysis.
Summary
The social model hospice, a complementary care option, is inconsistently defined. This review clarifies its evolving attributes and consequences for improved end-of-life care and community education.
Area of Science:
- Gerontology
- Sociology
- Public Health
Background:
- The social model hospice emerged as a complementary approach to traditional medical hospice care.
- The concept's definition and application remain inconsistent among various stakeholders.
- Understanding its evolution is crucial for improving end-of-life care accessibility.
Purpose of the Study:
- To trace the historical development of the social model hospice concept.
- To establish an evolving definition using Rodgers' evolutionary concept analysis method.
- To analyze publications from 1975 to 2020.
Main Methods:
- Systematic literature review using database and hand searching (1975-2020).
- Analysis of 25 selected publications.
- Application of Rodgers' evolutionary method for concept analysis.
Main Results:
- Identified antecedents: resource crises, unmet non-medical needs, desire for non-institutionalized death.
- Key attributes: dedicated home, 24/7 individualized care, collaboration with medical hospice, community-funded nonprofit, family support, volunteer involvement.
- Consequences: effective patient/family care, innovative healthcare models, provider networks, community education platforms.
Conclusions:
- Clarifying the social model hospice definition enhances access to end-of-life care.
- Formalizing the concept supports research and community engagement.
- This model offers innovative solutions for end-of-life care challenges.
