期刊
CLINICS IN GERIATRIC MEDICINE
卷 31, 期 2, 页码 265-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cger.2015.01.003
关键词
Palliative care; Chronic disease; Health care reform; Payment and delivery systems; Workforce challenges
Research shows that early access to palliative care can significantly improve the quality of care for patients with chronic and advanced illnesses and reduce the overall costs of care. However, factors such as poor provider reimbursement mechanisms, inadequate formal education and training, workforce shortages, and low provider acceptance and patient engagement have created barriers to the widespread uptake of palliative care. Expanding access to these services requires their integration into new models of payment and delivery, such as Accountable Care Organizations, an overhaul of formal palliative care education and training, and improved messaging about these services to patients and providers.
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