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Rural Health Information Hub

Rural Hospice and Palliative Care – Resources

Selected recent or important resources focusing on Rural Hospice and Palliative Care.

Challenges and Facilitators of Hospice Decision-making: A Retrospective Review of Family Caregivers of Home Hospice Patients in a Rural US-Mexico Border Region - A Qualitative Study
Highlights a study on hospice care utilization in the rural U.S.-Mexico border region of Southern California. Explores the decisions made by family care givers around hospice care and discusses the factors that shaped those decisions.
Author(s): Eunjeong Ko, Dahlia Fuentes, Savitri Singh-Carlson, Frances Nedjat-Haiem
Citation: BMJ Open, 10(7), e035634
Date: 07/2020
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Bringing Palliative Care To Underserved Rural Communities
Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
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America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Rural Palliative Care
Policy position paper focused on rural palliative care. Discusses the value of palliative care and identifies rural considerations. Includes policy recommendations.
Author(s): Margaret Woeppel, Leslie Marsh, Tanya Sharp
Date: 07/2019
Sponsoring organization: National Rural Health Association
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Life 'til the End: Hospice in Rural America
Describes the role of hospice in rural communities. Features a rural Iowa family sharing how hospice helped them care for their father at the end of his life. Also highlights a Critical Access Hospital (CAH) in Wisconsin that provides hospice care, explaining how this service supports the hospital's mission to provide care to the community.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 06/2019
Sponsoring organization: Rural Health Information Hub
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Healthcare Professionals' Views of Palliative Care for American War Veterans with Non-malignant Respiratory Disease Living in a Rural Area: A Qualitative Study
Discussed the views of healthcare professionals on palliative care for rural veterans with chronic lung diseases in Idaho. Highlights the providers' perception of veterans' understanding of the disease and it's progression, as well as barriers to palliative care services.
Author(s): Clare Mc Veigh, Joanne Reid, Paula Carvalho
Citation: BMC Palliative Care, 18, 22
Date: 02/2019
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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
Sponsoring organization: Rural Health Information Hub
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State Operations Manual Appendix M - Guidance for Surveyors: Hospice
Details the hospice survey process and presents interpretive guidelines clarifying statutory and regulatory requirements.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Hospice Payment System & Coverage
Provides an overview of the Medicare hospice program and services. Includes information regarding Conditions of Participation, Medicare certification, quality reporting, and more.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Compare
Provides information on the quality of care, cost, volume of services, and other data for Medicare-certified providers. Includes data on doctors and clinicians, hospitals, nursing homes, home health services, hospice care, inpatient rehabilitation facilities, long-term care hospitals, and dialysis facilities.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 10/17/2025