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Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study
Connie S Cole1, Amy Jackson2, C Robert Bennett3
1University of Colorado School of Medicine, Aurora, CO, USA.
Summary
Barriers hinder access to palliative care (PC) for seriously ill nursing home residents. Simplifying the referral process through education, screening tools, and integrated services can improve care access.
Area of Science:
- Gerontology
- Palliative Care Medicine
- Health Services Research
Background:
- Specialized palliative care (PC) is crucial for seriously ill nursing home (NH) residents.
- Existing barriers impede timely and equitable access to essential PC services in NHs.
- The complexity of the referral process is a significant obstacle to PC integration.
Purpose of the Study:
- To explore the palliative care referral process within nursing homes.
- To identify barriers and propose solutions for improving PC access in NHs.
Main Methods:
- Qualitative descriptive study utilizing rapid qualitative analysis.
- Semi-structured interviews were conducted with 17 participants.
- Participants included NH staff, primary care providers, and specialty PC providers across six states.
Main Results:
- A multistep PC referral process in NHs was outlined.
- Key barriers to PC access were identified.
- Proposed solutions focused on education, screening tools, and service integration.
Conclusions:
- Comprehensive PC education programs are recommended for NH staff.
- Implementing evidence-based PC screening tools can facilitate early identification.
- Holistic integration of PC services into NH settings is essential for improving resident care.
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