Palliative Care in New York State Nursing Homes: A Descriptive Study

Paula E. Lester; Fernando Kawai; Lucan Rodrigues; James Lolis; Diana Martins-Welch; Alexander Shalshin; Melissa J. Fazzari; Cynthia X. Pan

doi:10.1177/1049909117691229

Palliative Care in New York State Nursing Homes: A Descriptive Study

Paula E. Lester, Fernando Kawai, Lucan Rodrigues, James Lolis, Diana Martins-Welch, Alexander Shalshin, Melissa J. Fazzari, Cynthia X. Pan

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective: To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS). Measurements: A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions. Results: Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC. Conclusion: There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.

Original language	English (US)
Pages (from-to)	203-210
Number of pages	8
Journal	American Journal of Hospice and Palliative Medicine
Volume	35
Issue number	2
DOIs	https://doi.org/10.1177/1049909117691229
State	Published - Feb 1 2018
Externally published	Yes

Keywords

geriatrics
hospice
long-term care
nursing home
palliative care

ASJC Scopus subject areas

General Medicine

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title = "Palliative Care in New York State Nursing Homes: A Descriptive Study",

abstract = "Objective: To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS). Measurements: A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions. Results: Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC. Conclusion: There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.",

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author = "Lester, {Paula E.} and Fernando Kawai and Lucan Rodrigues and James Lolis and Diana Martins-Welch and Alexander Shalshin and Fazzari, {Melissa J.} and Pan, {Cynthia X.}",

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AU - Lester, Paula E.

AU - Kawai, Fernando

AU - Rodrigues, Lucan

AU - Lolis, James

AU - Martins-Welch, Diana

AU - Shalshin, Alexander

AU - Fazzari, Melissa J.

AU - Pan, Cynthia X.

PY - 2018/2/1

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N2 - Objective: To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS). Measurements: A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions. Results: Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC. Conclusion: There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.

AB - Objective: To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS). Measurements: A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions. Results: Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC. Conclusion: There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.

KW - geriatrics

KW - hospice

KW - long-term care

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KW - palliative care

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Palliative Care in New York State Nursing Homes: A Descriptive Study

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