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Rural Health
Resources by Topic: Hospice and palliative care

Long-term Care Providers and Services Users in the United States, 2015-2016
Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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A Profile of New Hospice and Palliative Medicine Physicians: Results from the Survey of Hospice and Palliative Medicine Fellows Who Completed Training in 2018
Presents results of a survey of 147 physicians who completed training in hospice and palliative medicine (HPM) in 2018. Covers fellows' demographics, prior medical training and experience, fellowship experience, post-training practice, and the HPM job market. Includes information on the intent to practice in rural and semi-rural locations and mean income by practice setting.
Date: 01/2019
Type: Document
Sponsoring organizations: American Academy of Hospice and Palliative Medicine, George Washington University Health Workforce Institute
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There's No Place Like Home: Rural Home Health and Hospice Care in Washington State, a Discussion of Challenges and Solutions
Provides an overview of home health and hospice services in rural Washington state. Identifies rural areas and offers information on aging rural populations within the state. Discusses challenges and potential solutions to meeting the needs of rural aging populations in Washington.
Author(s): Patricia Justis
Date: 01/2019
Type: Document
Sponsoring organization: Washington State Office of Rural Health
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Aging in Appalachia
Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Type: Website
Sponsoring organization: West Virginia Public Broadcasting
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Advance Care Planning: Strategic for All Adults, Even the Healthy
Discusses the benefits of patients having proactive conversations about the care they might want to receive in situations where they are unable to speak for themselves. Shares insights from advance care planning (ACP) advocates and experts regarding ACP access in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Palliative Care in California: Narrowing the Gap
Reports on a survey of palliative care programs in California. Includes interactive maps with county-level data on the need for and capacity of palliative care services.
Author(s): Kathleen Kerr
Date: 06/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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Telehomecare Monitoring Services: Eastern Maine Healthcare Systems VNA Home Health Hospice
Discusses the development, impact, lessons learned, and future goals of a telehealth home health and hospice monitoring program for a healthcare system in rural Maine.
Date: 04/2018
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Developing a "Toolkit" to Measure Implementation of Concurrent Palliative Care in Rural Community Cancer Centers
Reports on the implementation of an early palliative care telehealth model identified as ENABLE (Educate, Nurture, Advise, Before Life Ends) for patients with recently diagnosed cancer and their caregivers in 4 rural cancer centers. Describes the measures used to determine early palliative care implementation and their development and testing, and the challenges and lessons learned in the implementation process.
Author(s): Lisa Zubkoff, J. Nicholas Dionne-Odom, Maria Pisu, et al.
Citation: Palliative & Supportive Care, 16(1), 60-72
Date: 02/2018
Type: Document
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