Impact of a Hospital Community Based Palliative Care Partnership: Continuum from Hospital to Home

Paramanandam, Gobi; Boohene, Jeanette; Tran, Kelvin; Volk-Craft, Barbara E.

doi:10.1089/jpm.2020.0090

Cited by 8 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hospital-based PC also facilitates discussion on the values, diagnosis, prognosis, and agreements of patients alongside the goals of the care offered (World Health Organization 2016). Moreover, Paramanandam et al (2020) found that collaboration between a hospital's PC team and CBPC results in high-quality transitions across care settings and a reduction in acute care utilization.…”

Section: Discussionmentioning

confidence: 99%

Methods used to identify the prevalence of palliative care needs: An integrative review

Kitreerawutiwong

Keeratisiroj

et al. 2023

Pall Supp Care

View full text Add to dashboard Cite

Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate holistic care to patients. The objective of this integrative review is to synthesize the methods used to identify the prevalence of PC needs. Methods An integrative review search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with full text, ProQuest, Wiley InterScience, ScienceDirect, Scopus, PubMed, and Web of Science with publications from 2010 to 2020 was carried out in English. Empirical studies examining the methods used to determine the prevalence of PC needs were included. The methods of data extraction of the included articles were categorized by data source, study setting, and data collector. Quality appraisal was performed using QualSyst. Results Of the 5,410 articles screened, 29 were included in this review. Two articles identified the prevalence of PC needs in a community that was supported by a network of volunteers, while 27 studies considered this at a continent, country, hospital, and/or primary care facility level as represented by physicians, nurses, and researchers. Significance of results Various methods have been used to determine the prevalence of PC needs, and the outcomes are valuable for policymakers in developing PC services when allocating resources at the national and community levels. Future research to identify PC needs across health settings, especially primary care facilities, should consider providing PC across a spectrum of care settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Methods used to identify the prevalence of palliative care needs: An integrative review

Kitreerawutiwong

Keeratisiroj

et al. 2023

Pall Supp Care

View full text Add to dashboard Cite

show abstract

“…In Taiwan, community-based PHC teams may consult hospital-based palliative care teams for complex cases, which might explain the aforementioned findings. The collaboration between the hospital and community teams could increase access to palliative care for all, improve the quality of care transition, and enhance the continuous care provision during a patient’s disease trajectory from diagnosis to death [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparison of the Survival, Place of Death, and Medical Utilization of Terminal Patients Receiving Hospital-Based and Community-Based Palliative Home Care: A Retrospective and Propensity Score Matching Cohort Study

Lin

Tsay

Chang

et al. 2021

IJERPH

View full text Add to dashboard Cite

Evidence shows that community-based palliative home care (PHC) provision enhances continuous care and improves patient outcomes. This study compared patient survival, place of death, and medical utilization in community- versus hospital-based PHC. A retrospective cohort study was conducted of patients aged over 18 referred to either community- or hospital-based PHC from May to December 2018 at a tertiary hospital and surrounding communities in Southern Taiwan. A descriptive analysis, Chi-square test, t-test, and Log-rank test were used for the data analysis of 131 hospital-based PHC patients and 43 community-based PHC patients, with 42 paired patient datasets analyzed after propensity score matching. More nurse visits (p = 0.02), fewer emergency-room visits (p = 0.01), and a shorter waiting time to access PHC (p = 0.02) were found in the community group. There was no difference in the duration of survival and hospitalization between groups. Most hospital-based patients (57%) died in hospice wards, while most community-based patients died at home (52%). Community-based PHC is comparable to hospital-based PHC in Taiwan. Although it has fewer staffing and training requirements, it is an alternative for terminal patients to meet the growing end-of-life care demand.

show abstract

“…The process by which the AZPHC program measured impacts on other outcomes of interest, such as high-cost hospital events and emergency department visits, is further described in a prior publication. 32 The corresponding author of this article welcomes further inquiry from interested colleagues.…”

Section: Table 1 Avoided Hospital Event Criteriamentioning

confidence: 98%

Avoided Hospitalization Criteria: Validating the Impact of a Community-Based Palliative Care Program

Paramanandam

Volk-Craft

Brueckner

et al. 2020

Palliative Medicine Reports

Self Cite

View full text Add to dashboard Cite

Objective: This report describes the experiences of a community-based palliative care (CBPC) program's efforts to understand the patterns of hospital utilization, specifically utilization reduction experienced by admitted patients. Efforts to quantify and describe an avoided hospitalization and opportunities to use these data to strengthen partnerships with local insurance payers to assure sustainability of the CBPC will be discussed. Background: Patients with serious chronic illness experience emergency room care and hospitalizations with increasing frequency as their health deteriorates. CBPC programs are well positioned to decrease hospital utilization by early involvement and improved care management. Methods: Arizona Palliative Home Care (AZPHC) program is a free standing CBPC in Maricopa County, Arizona, serving 3300 patients annually. An interdisciplinary team was formed within the CBPC to facilitate the identification of avoided hospital events and communicate these data to community partners in an effective and consistent manner. The processes developed by this team are described. Results: AZPHC has enhanced its hospitalization avoidance strategies by communicating the rate of hospitalization avoidance events in a consistent and strategic manner. Providing instances of avoided hospitalizations with accompanying patient narratives to payers has enabled AZPHC to demonstrate the impact the CBPC has on improving quality of care and reducing overall costs. Discussion: CBPC programs require payment for sustainability; therefore, partnerships with local insurance payers are essential. Presenting data that validate the impact of a program from a clinical and financial perspective will advance the growth of payer-CBPC provider relationships and secure a future for funded CBPC programs.

show abstract

Impact of a Hospital Community Based Palliative Care Partnership: Continuum from Hospital to Home

Cited by 8 publications

References 33 publications

Methods used to identify the prevalence of palliative care needs: An integrative review

Methods used to identify the prevalence of palliative care needs: An integrative review

A Comparison of the Survival, Place of Death, and Medical Utilization of Terminal Patients Receiving Hospital-Based and Community-Based Palliative Home Care: A Retrospective and Propensity Score Matching Cohort Study

Avoided Hospitalization Criteria: Validating the Impact of a Community-Based Palliative Care Program

Contact Info

Product

Resources

About