What We Do: Key Activities of an Outpatient Palliative Care Team at an Academic Cancer Center

Bischoff, Kara; Yang, Eunjin; Kojimoto, Gayle; Lopez, Nancy; Holland, Sarah; Calton, Brook; Adkins, Sarah; Cheng, Stephanie; Miller, Bruce; Rabow, Michael W.

doi:10.1089/jpm.2017.0441

Cited by 18 publications

(4 citation statements)

References 30 publications

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“…While the naming of palliative care programs has been hotly debated, [42][43][44][45][46] calling programs by more traditional names, such as a ''supportive care,'' could curry favor in lowopenness states. Finally, several reports [47][48][49] have provided concrete details on the activities emphasized by palliative care clinicians. For example, one study 47 describing an outpatient program found that palliative care clinicians addressed symptom management in 75% of visits and coping in 64% of visits.…”

Section: Discussionmentioning

confidence: 99%

Statewide Differences in Personality Associated with Geographic Disparities in Access to Palliative Care: Findings on Openness

Hoerger

Perry

Korotkin

et al. 2019

Journal of Palliative Medicine

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Background: Geographic disparities in access to palliative care cause unnecessary suffering near the end-of-life in low-access U.S. states. The psychological mechanisms accounting for state-level variation are poorly understood. Objective: To examine whether statewide differences in personality account for variation in palliative care access. Design: We combined 5 state-level datasets that included the 50 states and national capital. Palliative care access was measured by the Center to Advance Palliative Care 2015 state-by-state report card. State-level personality differences in openness, conscientiousness, agreeableness, neuroticism, and extraversion were identified in a report on 619,387 adults. The Census and Gallup provided covariate data. Regression analyses examined whether state-level personality predicted state-level palliative care access, controlling for population size, age, gender, race/ethnicity, socioeconomic status, and political views. Sensitivity analyses controlled for rurality, nonprofit status, and hospital size. Results: Palliative care access was higher in states that were older, less racially diverse, higher in socioeconomic status, more liberal, and, as hypothesized, higher in openness. In regression analyses accounting for all predictors and covariates, higher openness continued to account for better state-level access to palliative care (b = 0.428, p = 0.008). Agreeableness also emerged as predicting better access. In sensitivity analyses, personality findings persisted, and less rural states and those with more nonprofits had better access. Conclusions: Palliative care access is worse in states lower in openness, meaning where residents are more skeptical, traditional, and concrete. Personality theory offers recommendations for palliative care advocates communicating with administrators, legislators, philanthropists, and patients to expand access in low-openness states.

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Section: Discussionmentioning

confidence: 99%

Statewide Differences in Personality Associated with Geographic Disparities in Access to Palliative Care: Findings on Openness

Hoerger

Perry

Korotkin

et al. 2019

Journal of Palliative Medicine

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“…For our cancer PC clinic, we included patients seen from June 15 to 30, 2019 (Refs. 12,13 ). To ensure a similar number of surveyed patients from our smaller noncancer clinic, we included patients seen by telemedicine from January to June 2019.…”

Section: Subjectsmentioning

confidence: 99%

Patient and Caregiver Experience with Outpatient Palliative Care Telemedicine Visits

Calton

Shibley

Cohen

et al. 2020

Palliative Medicine Reports

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“…Many may benefit from specialist palliative care through outpatient clinics, inpatient consultation teams, palliative care units (PCUs), and community‐based teams . Outpatient clinics are particularly well positioned to improve patient care outcomes by providing proactive symptom management, longitudinal psychosocial care, and advance care planning …”

Section: Introductionmentioning

confidence: 99%

State of palliative care services at US cancer centers: An updated national survey

Hui

Rosa

Chen

et al. 2020

Cancer

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BACKGROUND: This study examined the changes in outpatient palliative care services at US cancer centers over the past decade. METHODS: Between April and August 2018, all National Cancer Institute (NCI)-designated cancer centers and a random sample of 1252 non-NCI-designated cancer centers were surveyed. Two surveys used previously in a 2009 national study were sent to each institution: a 22-question cancer center executive survey regarding palliative care infrastructure and attitudes toward palliative care and an 82question palliative care program leader survey regarding detailed palliative care structures and processes. Survey findings from 2018 were compared with 2009 data from 101 cancer center executives and 96 palliative care program leaders. RESULTS: The overall response rate was 69% (140 of 203) for the cancer center executive survey and 75% (123 of 164) for the palliative care program leader survey. Among NCI-designated cancer centers, a significant increase in outpatient palliative care clinics was observed between 2009 and 2018 (59% vs 95%; odds ratio, 12.3; 95% confidence interval, 3.2-48.2; P < .001) with no significant changes in inpatient consultation teams (92% vs 90%; P = .71), palliative care units (PCUs; 26% vs 40%; P = .17), or institution-operated hospices (31% vs 18%; P = .14). Among non-NCI-designated cancer centers, there was no significant increase in outpatient palliative care clinics (22% vs 40%; P = .07), inpatient consultation teams (56% vs 68%; P = .27), PCUs (20% vs 18%; P = .76), or institution-operated hospices (42% vs 23%; P = .05). The median interval from outpatient palliative care referral to death increased significantly, particularly for NCI-designated cancer centers (90 vs 180 days; P = 0.01). CONCLUSIONS: Despite significant growth in outpatient palliative care clinics, there remain opportunities for improvement in the structures and processes of palliative care programs.

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What We Do: Key Activities of an Outpatient Palliative Care Team at an Academic Cancer Center

Abstract: Symptom management, support for family and caregivers, and care coordination are the most common activities that occurred during scheduled outpatient PC visits. These findings can guide developing PC practices, as well as clinicians who provide primary PC.

Cited by 18 publications

References 30 publications

Statewide Differences in Personality Associated with Geographic Disparities in Access to Palliative Care: Findings on Openness

Statewide Differences in Personality Associated with Geographic Disparities in Access to Palliative Care: Findings on Openness

Patient and Caregiver Experience with Outpatient Palliative Care Telemedicine Visits

State of palliative care services at US cancer centers: An updated national survey

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