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Published on: February 16, 2011
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.
Abstract:
Despite evidence that specialized care for seriously ill nursing home (NH) residents is needed, barriers to accessing palliative care (PC) remain. A significant issue is the complexity of the referral process that inhibits timely and equitable access to care. This qualitative descriptive study explored the PC referral process in NHs. Using rapid qualitative analysis with semi-structured interview data from NH staff, primary care, and specialty PC providers (N = 17) in six states, this study outlines a multistep referral process along with barriers and proposed solutions. Key recommendations include comprehensive PC education program development, implementation of an evidence-based PC screening tool, and the holistic integration of PC services in NHs.
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