Research Priorities in Geriatric Palliative Care: Policy Initiatives

Overview

Journal J Palliat Med

Specialty Critical Care

Date 2013 Oct 24

PMID 24147877

Citations 13

Authors

Kathleen T Unroe

Diane E Meier

Affiliations

Soon will be listed here.

Abstract

Coordinated palliative care matched to patient needs improves quality of care for vulnerable patients with serious illness and reduces costly use of hospitals and emergency departments. Unfortunately, there is a disconnect in translating geriatric palliative care models and principles into policy and widespread practice. Gaps in policy-relevant research are addressed, including implementation strategies to scale up existing care models, the role of palliative care and geriatrics in health care payment reform efforts, development of quality measures for complex patients, strategies to address workforce shortages, and an approach to hospice reform.

Citing Articles

Psychometric Properties of the 'Patients' Perspective of the Quality of Palliative Care Scale'.

Kolagari S, Khoddam H, Guirimand F, Yeganeh L, Mahmoudian A Indian J Palliat Care. 2022; 28(1):64-74.

PMID: 35673378 PMC: 9165455. DOI: 10.25259/IJPC_72_2021.

Gaps in Hospice and Palliative Care Research: A Scoping Review of the North American Literature.

Antonacci R, Barrie C, Baxter S, Chaffey S, Chary S, Grassau P J Aging Res. 2020; 2020:3921245.

PMID: 33204532 PMC: 7661142. DOI: 10.1155/2020/3921245.

Patients' Perceptions Of The Quality Of Palliative Care And Satisfaction - A Cluster Analysis.

Sandsdalen T, Wilde-Larsson B, Grondahl V J Multidiscip Healthc. 2019; 12:903-915.

PMID: 31806988 PMC: 6857653. DOI: 10.2147/JMDH.S220656.

Development and validation of a French questionnaire concerning patients' perspectives of the quality of palliative care: the QUALI-PALLI-Patient.

Guirimand F, Martel-Samb P, Guy-Coichard C, Picard S, Devalois B, Copel L BMC Palliat Care. 2019; 18(1):19.

PMID: 30744627 PMC: 6369559. DOI: 10.1186/s12904-019-0403-z.

Geriatric palliative care: a view of its concept, challenges and strategies.

Voumard R, Rubli Truchard E, Benaroyo L, Borasio G, Bula C, Jox R BMC Geriatr. 2018; 18(1):220.

PMID: 30236063 PMC: 6148954. DOI: 10.1186/s12877-018-0914-0.

References

Smith A, McCarthy E, Weber E, Cenzer I, Boscardin J, Fisher J . Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there. Health Aff (Millwood). 2012; 31(6):1277-85. PMC: 3736978. DOI: 10.1377/hlthaff.2011.0922. View

Bui T . Effectively training the hospice and palliative medicine physician workforce for improved end-of-life health care in the United States. Am J Hosp Palliat Care. 2011; 29(6):417-20. DOI: 10.1177/1049909111429325. View

Higginson I, Finlay I, Goodwin D, Hood K, Edwards A, Cook A . Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers?. J Pain Symptom Manage. 2003; 25(2):150-68. DOI: 10.1016/s0885-3924(02)00599-7. View

Lupu D . Estimate of current hospice and palliative medicine physician workforce shortage. J Pain Symptom Manage. 2010; 40(6):899-911. DOI: 10.1016/j.jpainsymman.2010.07.004. View

Morrison S, Magaziner J, McLaughlin M, Orosz G, Silberzweig S, Koval K . The impact of post-operative pain on outcomes following hip fracture. Pain. 2003; 103(3):303-311. DOI: 10.1016/S0304-3959(02)00458-X. View

Palmer R, Landefeld C, Kresevic D, Kowal J . A medical unit for the acute care of the elderly. J Am Geriatr Soc. 1994; 42(5):545-52. DOI: 10.1111/j.1532-5415.1994.tb04978.x. View

Zhang B, Wright A, Huskamp H, Nilsson M, Maciejewski M, Earle C . Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009; 169(5):480-8. PMC: 2862687. DOI: 10.1001/archinternmed.2008.587. View

Casarett D, Pickard A, Bailey F, Ritchie C, Furman C, Rosenfeld K . Do palliative consultations improve patient outcomes?. J Am Geriatr Soc. 2008; 56(4):593-9. DOI: 10.1111/j.1532-5415.2007.01610.x. View

Inouye S, Baker D, Fugal P, Bradley E . Dissemination of the hospital elder life program: implementation, adaptation, and successes. J Am Geriatr Soc. 2006; 54(10):1492-9. DOI: 10.1111/j.1532-5415.2006.00869.x. View

10.

Jayadevappa R, Bloom B, Raziano D, Lavizzo-Mourey R . Dissemination and characteristics of acute care for elders (ACE) units in the United States. Int J Technol Assess Health Care. 2003; 19(1):220-7. DOI: 10.1017/s0266462303000205. View

11.

Quill T, Abernethy A . Generalist plus specialist palliative care--creating a more sustainable model. N Engl J Med. 2013; 368(13):1173-5. DOI: 10.1056/NEJMp1215620. View

12.

Coleman E, Parry C, Chalmers S, Min S . The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006; 166(17):1822-8. DOI: 10.1001/archinte.166.17.1822. View

13.

Ringdal G, Jordhoy M, Kaasa S . Family satisfaction with end-of-life care for cancer patients in a cluster randomized trial. J Pain Symptom Manage. 2002; 24(1):53-63. DOI: 10.1016/s0885-3924(02)00417-7. View

14.

Fellowes D, Wilkinson S, Moore P . Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database Syst Rev. 2004; (2):CD003751. DOI: 10.1002/14651858.CD003751.pub2. View

15.

Naylor M, Bowles K, McCauley K, Maccoy M, Maislin G, Pauly M . High-value transitional care: translation of research into practice. J Eval Clin Pract. 2011; 19(5):727-33. DOI: 10.1111/j.1365-2753.2011.01659.x. View

16.

Inouye S, Bogardus Jr S, Baker D, Leo-Summers L, Cooney Jr L . The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc. 2000; 48(12):1697-706. DOI: 10.1111/j.1532-5415.2000.tb03885.x. View

17.

Lilly C, De Meo D, Sonna L, Haley K, Massaro A, WALLACE R . An intensive communication intervention for the critically ill. Am J Med. 2000; 109(6):469-75. DOI: 10.1016/s0002-9343(00)00524-6. View

18.

Teno J, Gozalo P, Bynum J, Leland N, Miller S, Morden N . Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009. JAMA. 2013; 309(5):470-7. PMC: 3674823. DOI: 10.1001/jama.2012.207624. View

19.

Back A, Li Y, Sales A . Impact of palliative care case management on resource use by patients dying of cancer at a Veterans Affairs medical center. J Palliat Med. 2005; 8(1):26-35. DOI: 10.1089/jpm.2005.8.26. View

20.

Liu K, Wiener J, Niefeld M . End of life Medicare and Medicaid expenditures for dually eligible beneficiaries. Health Care Financ Rev. 2007; 27(4):95-110. PMC: 4194964. View