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Rural Health
Resources by Topic: Hospice and palliative care

Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Sponsoring organizations: Perry Undem, St. David's Foundation
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Sponsoring organization: National Hospice and Palliative Care Organization
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2023 National Survey on MIH-CP Programs
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Sponsoring organization: National Association of Emergency Medical Technicians
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Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)
Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that are expiring at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Hospice: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for hospice providers issued in response to the COVID-19 pandemic. Includes information on payments for COVID-19 vaccines and therapeutics. Identifies whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Palliative Care and Healthcare Utilization among Metastatic Breast Cancer Patients in U.S. Hospitals
Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Sponsoring organization: Medicare Payment Advisory Commission
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The Washington Rural Palliative Care Initiative Handbook
Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Association of Rurality with Utilization of Palliative Care and Hospice among Medicare Beneficiaries Who Died from Pancreatic Cancer: A Cohort Study
Explores the association between the rurality of patient residence and the use of palliative care and hospice among Medicare decedents with pancreatic cancer between 2016 and 2018. Also examines the use of palliative care at least 90 days after diagnosis and before death and hospice care at least three days before death. Presents data by metropolitan, micropolitan, small town, and rural classifications.
Author(s): Niveditta Ramkumar, Qianfei Wang, Gabriel A. Brooks, et al.
Citation: Journal of Rural Health, 39(3), 557-564
Date: 01/2023
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America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Sponsoring organization: United Health Foundation
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