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A Review of Barriers to Utilization of the Medicare Hospice Benefits in Urban Populations and Strategies for Enhanced Access

Bibliographic Data

ID15033807
AuthorsSean O’mahony (0000-0003-0809-5238, Albert Einstein College of Medicine), Janet McHenry (Montefiore Medical Center), Daniel Snow (0000-0002-8129-157X, Montefiore Medical Center), Carolyn Cassin (United Hospice), Donald Schumacher (National Hospice and Palliative Care Organization), Peter A Selwyn (0000-0002-1850-6144, Albert Einstein College of Medicine)
Year2008
Volume85
Issue2
Pages281-290
Publication date2008-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Urban Health (JOURNAL)
Journal identifiersISSN: 1099-3460 • E-ISSN: 1468-2869
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11524-008-9258-y
PMID18240022
PMCIDPMC2430114
OpenAlexW2030683208
LanguageEN
Citations received2
References cited21

Disparities in access to health care extend to end-of-life care. Lack of access to hospice mirrors lack of access to health maintenance and primary care. Patients who are served by hospice nationally are disproportionately white and likely to reside in economically stable communities. In many urban low-income communities, less than 5% of decedents receive hospice care in the last 6 months of life. This review focuses on barriers to palliative care and hospice in urban, predominantly low-income communities, including cultural and reimbursement factors and the paucity of hospice providers, outreach projects, and in-patient hospice beds in urban communities. This review will also address some strategies that are being implemented by hospices locally and nationally to overcome demographic barriers to hospice care

Business · Economic growth · Family medicine · Health care · Hospice care · Outreach · Palliative care · Reimbursement · Childhood Cancer Survivors' Quality of Life · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Palliative Care and End-of-Life Issues · Gerontology

  • A Qualitative Investigation of Cross-domain Influences on Medical Decision Making and the Importance of Social Context for Understanding Barriers to Hospice Use

    Open Access•Karen Lutfey Spencer, Emily Hammad Mrig et al.•Journal of Applied Social Science•2017

  • Cancer Patients' Preferences for Control at the End of Life

    Open Access•Deborah L Volker, Hung-Lan Wu•Qualitative Health Research•2011

  • Ethnicity and analgesic practice

    Open Access•Knox H Todd, Christi Deaton et al.•Annals of Emergency Medicine•2000

  • A Controlled Trial to Improve Care for Seriously III Hospitalized Patients

    Alfred F Connors•JAMA•1995

  • Preliminary Report of a Palliative Care and Case Management Project in an Emergency Department for Chronically Ill Elderly Patients

    Open Access•Sean O’ Mahony, Arthur Blank et al.•Journal of Urban Health•2008

Unique citing works2
Citations per year0,13
Citation span2011 - 2017 (7)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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