Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Identifying Patients at Elevated Risk of Stroke After Transcarotid Artery Revascularization

Journal of vascular surgery·2026
Same author

Advanced cancer treatment decisions and their patient-facing financial burdens: a thematic analysis.

The oncologist·2026
Same author

Neural Correlates of Palliative Care: A Feasibility Trial in Patients with Metastatic Gastrointestinal and Lung Cancer.

Research square·2026
Same author

Gaming the System: Evaluating Spillover in a Video Game Intervention for Advance Care Planning using Physician Social Networks.

Health services & outcomes research methodology·2026
Same author

Instrumental variable estimation of a hazard ratio for treatment with a waiting time without specifying its dependence on unmeasured confounders: application to a procedural registry.

Lifetime data analysis·2026
Same author

Network threats to causal inference: Variations in network position by participation in randomized controlled trials.

Social networks·2026
Same journal

Growing the Next Generation of Hospice and Palliative Medicine Researchers.

Journal of pain and symptom management·2026
Same journal

Topical Amitriptyline, Ketamine, and Lidocaine Cream for Neuropathic Pain Control in Pediatric Oncology Patients.

Journal of pain and symptom management·2026
Same journal

Perceived Stigma, Psychological Distress, and Symptom Burden in Decompensated Cirrhosis.

Journal of pain and symptom management·2026
Same journal

Routine Urine Drug Screening in Palliative Care - A Call for Evidence Before Implementation.

Journal of pain and symptom management·2026
Same journal

Why We Should Rarely Override Surrogates.

Journal of pain and symptom management·2026
Same journal

Screening for Distress and Sources of Distress in Parents with Advanced Cancer and their Coparents.

Journal of pain and symptom management·2026
See all related articles

Related Experiment Videos

Measuring How Palliative Care is Delivered: Using Provider Sequences as a New Quality Signal.

John J Shin1, Amber E Barnato2, Gabriel A Brooks3

  • 1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756.

Journal of Pain and Symptom Management
|June 10, 2026
PubMed
Summary
This summary is machine-generated.

Understanding palliative care (PC) provider sequences in hospitals can improve end-of-life (EOL) outcomes. Specific sequences, like Independent Specialist to Team Specialist, correlate with increased hospice use.

Keywords:
Cancer CareEnd-of-Life CareHospice CarePalliative CareQuality Improvement

Related Experiment Videos

Area of Science:

  • Palliative Care Research
  • Health Services Research
  • Oncology Outcomes

Background:

  • The impact of palliative care (PC) program composition and staffing on end-of-life (EOL) outcomes is not well understood.
  • There is a need to analyze how PC services are delivered within hospital settings.

Purpose of the Study:

  • To investigate longitudinal PC service delivery patterns using a data-driven approach.
  • To explore the association between distinct PC provider sequences and EOL quality measures in advanced cancer patients.

Main Methods:

  • Retrospective cohort study using 2018-2019 Medicare fee-for-service claims.
  • Defined provider sequences based on consecutive PC encounters (Team Specialist, Independent Specialist, Primary).
  • Quantified provider sequence patterns within hospitals and tested associations with EOL quality measures (ED visits, hospice use, hospice enrollment duration).

Main Results:

  • A higher proportion of Independent Specialist→Team Specialist (IS→TS) sequences was linked to increased hospice use (beta=0.48).
  • The Team Specialist→Primary (TS→P) sequence showed a negative association with hospice enrollment of 3 days or more (beta=-0.18).

Conclusions:

  • Palliative care provider sequences may serve as a quality indicator within hospitals.
  • Analyzing these sequences can offer insights into variations in EOL care quality and outcomes.