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The U.S. hospice movement: issues in development.

M Osterweis, D S Champagne

American Journal of Public Health

|May 1, 1979

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Hospice care in the U.S. aims to improve quality of life for the terminally ill. Integrating hospice services into the healthcare system is crucial for its long-term success and potential cost savings.

Area of Science:

Healthcare Management
Palliative Care
Public Health Policy

Background:

A growing hospice care movement in the U.S. is inspired by British models.
Hospice care focuses on maintaining quality of life for terminally ill patients.

Purpose of the Study:

To explore strategies for ensuring the long-term viability of hospice care in the U.S.
To identify key considerations for integrating hospice services into the existing healthcare system.

Main Methods:

Analysis of existing hospice models and their adaptation potential.
Examination of integration challenges including resource utilization, planning, standards, and reimbursement.
Discussion of potential financial impacts and system-wide effects.

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Main Results:

Hospice care integration requires careful consideration of resources, planning, and reimbursement.
Immediate cost savings are not guaranteed, but future financial benefits and improved bed utilization are possible.
Successful development necessitates ongoing dialogue among diverse stakeholders.

Conclusions:

Integrating hospice care into the U.S. healthcare system is essential for its sustainability.
Adaptation of models and stakeholder collaboration are key to effective hospice development.
Hospice care holds potential for future cost-effectiveness and improved healthcare system efficiency.