This article examines geographic variance in patient and medical trainee access to palliative care.
Factors significantly associated with hospital palliative care include geographic location, owning a hospice program, having an American College of Surgery approved cancer program, percent of persons in the county with a university education, and medical school affiliation.
For-profit and public hospitals were significantly less likely to have hospital palliative care when compared with nonprofit institutions.
States with higher hospital palliative care penetration rates were observed to have fewer Medicare hospital deaths, fewer intensive care unit/cardiac care unit (ICU/CCU) days and admissions during the last 6 months of life, fewer ICU/CCU admissions during terminal hospitalizations, and lower overall Medicare spending/enrollee.
Overall, medical students have high rates of access to hospital palliative care although complete penetration into academic settings has not occurred.
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Title: Variability in Access to Hospital Palliative Care in the United States
Publication date 2008-01-01
Publication Year 2008
, Jessica Dietrich
, Qingling Du
, R. Sean Morrison
Journal of Palliative Medicine
North America / United States
, care programs
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