Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2016
Changes in relatives' perspectives on quality of death, quality of care, pain relief, and caregiving burden before and after a region-based palliative care intervention.
A region-based palliative care intervention (Outreach Palliative Care Trial of Integrated Regional Model Study) increased home death, access to specialist palliative care, quality of care, and quality of death and dying. ⋯ The dual strategies of transition of place of death to home and improving quality of care in hospitals should be recognized as important targets for improving region-level palliative care.
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J Pain Symptom Manage · Nov 2016
The effect of pediatric palliative care policy on hospice utilization among California Medicaid beneficiaries.
California implemented pediatric palliative care legislations that allowed children to receive curative and supportive care from diagnosis of a life-threatening serious illness in 2010. Palliative care policies may improve access to hospice care as children near end of life. ⋯ The pediatric palliative care policy was associated with longer lengths of stay in hospice once the children were enrolled. Policies promoting palliative care are critical to ensuring access to hospice care for children.