Barriers and Enablers to Hospice Referrals: An Expert Overview

摘要: Background: The nation has an ample supply of hospice programs and, through Medicare, Medicaid, or employee-sponsored health insurance, most people have nearly full coverage for care. Yet, less than one third dying persons use Little is known about what prevents physicians from referring to care and how effective hospices are in reaching out generate referrals. Methods: In 1999, we conducted in-depth telephone interviews with 30 experts across the country made site visits four different programs. Results: interviewees identified numerous barriers accessing that complex often overlapping. Some relate other professionals, such as their difficulty accepting death lack education end-of-life Other result patient/family misinformation aspects system limit number types patients deemed approp...