Literature Review

[Portugal] International differences in the technical qualities of place of death classifications and data: A survey of researchers' perspectivesPalliative Medicine; by Mayra Delalibera, Sílvia Lopes, Inês Dias da Silva, Barbara Gomes; 9/26Place of death is a key population-level indicator for palliative care and health services planning. However, substantial international variation in how it is recorded limits cross-country comparisons and health system evaluations. This is the first study to assess place of death classifications and data from researchers' perspectives. Findings highlight critical limitations in current classification systems and provide guidance for developing an international classification aligned with UN and WHO recommendations. This will enable more meaningful cross-country comparisons and strengthen evidence to inform palliative care and health services planning worldwide.

Nearly half of veterans with stage IV cancer die without hospice: a national VHA analysis of 45,397 decedents Medscape; by Sasmith Menakuru, MD; Alexander Quattlebaum, MD; Chance Bloomer, MD; Lara Khoury, MD; Abdulsabur Sanni, MD; Michael Goodman, MD; 9/3/26  Results: Of 45,937 veterans, 20,338 ... had no hospice admission or consultation.  ... Conclusions: Hospice access for veterans with Stage IV cancer deteriorated during COVID-19 and shows no meaningful recovery; ... These findings identify Stage IV hospice access as an underrecognized national VHA quality priority warranting Stage IV—triggered automated palliative care consultation, embedded outpatient palliative care in oncology clinics, standardized referral protocols at documented progression, and veteran/family-facing hospice education. This analysis establishes a statistically rigorous national baseline for benchmarking interventions–and a call to action for the VHA oncology community to restore hospice as a core element of veteran-centered end-of-life care.

What palliative care teaches us about living well Psychology Today; by Jill Schwartz-Chevlin, MD, MBA; 9/2/26 When I reflect on my 20 years of practicing palliative medicine, the biggest takeaway is how the setting changes the work. Sitting down at a kitchen table with a patient and their family, instead of standing at a hospital bedside or in a clinic, changes the relationship. The person in front of me is in the comfort of their own home, surrounded by the people and objects that hold their history, and the conversation becomes theirs to lead. ...

Stillwater Hospice brings palliative care to rural populations Hospice News; by Jim Parker; 9/2/26 Indiana-based Stillwater Hospice recently completed a rural palliative care pilot that the nonprofit plans to extend into a long-term program. The program’s roots were planted in October 2025. It emerged from a collaboration with Cameron Health, a community hospital in Angola, Indiana. ... Through the program, seriously ill patients who have been recently discharged from Cameron have access to a nurse practitioner for symptom management, patient and family education and goals-of-care conversations. Patients receive a phone call within three days of discharge and a visit within a week, ...

Patient and caregiver perspectives on communication quality in tele-palliative care Journal of Palliative Medicine; by Julia I. Bandini, PhD, Elaine Li, BA, Dio Kavalieratos, PhD, FAAHPM, Natalie C. Ernecoff, PhD, Kimberly Curseen, MD, and Jordan Harrison, PhD; 8/27/26 Objective: To qualitatively explore patient and family caregiver experiences with telehealth and in-person visits for outpatient palliative care, including preferences related to mode of care and any perceived differences in communication quality by mode in a post-pandemic context. Results: Three themes emerged: (1) participants weighed convenience, symptom burden, and visit reason in choosing mode of care; (2) opinions differed on the authenticity of communication via telehealth; and (3) comfort and privacy shaped communication quality. Some patients and family caregivers perceived communication via telehealth as comparable to in-person care, while others felt in-person visits allowed for more authentic interactions. Many found that the convenience of telehealth outweighed any perceived differences in communication quality. In addition, some patients noted that without the option for telehealth, the benefits of an in-person palliative care visit may not have outweighed the travel burden.

[France] 'You cannot have a good assisted dying law without good palliative care’ GuardianTV; Press Release; 8/30/26 François Picard is pleased to welcome Anne Reynaud, Board Member of the Association for the Right to Die with Dignity. France’s long awaited assisted dying legislation marks a profound shift in the country’s approach to end of life care, but as Reynaud makes clear, the parliamentary vote is less the end of a debate than the beginning of a new ethical and legal era. Speaking from both personal experience and her professional role, Reynaud argues that the law represents meaningful progress while remaining more restrictive than the recommendations of France’s Citizens’ Convention. 

What CMS's CY2027 home health proposal means for palliative care JD Supra; by Edo Banach and Lauren Carboni; 8/25/26  The Centers for Medicare & Medicaid Services’ (“CMS”) CY 2027 Home Health Prospective Payment System proposed rule (“HH PPS Proposed Rule”) confirms that community-based palliative care may be covered under the existing Medicare home health benefit-creating near-term operational questions, and longer-term strategic opportunities, for home health agencies, hospices, and other health care providers serving a frail and declining population.Key Takeaways:

Limestone County providers to receive share of state Rural Health Transformation Program grants The News Courier, Athens, AL; by Ben Bullard; 8/26/26 Alabama Governor Kay Ivey this week announced the awarding of 138 grants worth more than $144 million to healthcare providers and institutions statewide as part of the Alabama Rural Health Transformation Program (ARHTP). The awards include funding for medical infrastructure and cybersecurity upgrades in Limestone County, while also supporting numerous programs that include Limestone as part of a wider multi-county area. “Alabama is serious about creating systematic changes through the ARHTP to ensure every citizen has access to quality care. This program is enabling institutions covering every part of the state to improve healthcare for Alabamians through projects that are both innovative and sustainable,” said Ivey in announcing the grants.

Family caregivers' understanding, expectations, and emotional responses during transition to a palliative care unit: a qualitative study Empirical Research Qualitative; by Filipa Vieira-Matos and Paulo Reis-\Pina; 8/2/26 Aim: To explore how family caregivers interpret palliative care and respond to admission to a palliative care unit as a critical transition in care. ... Results: Admission was experienced as a critical transition. Three interrelated themes were identified: understanding of palliative care, expectations regarding care, and emotional responses. Participants described partial familiarity with palliative care but frequently associated referral with terminal illness. Expectations focused on comfort and clear communication. Emotional responses included fear, uncertainty, and ambivalence, particularly when referral occurred abruptly. ... Impact: Admission was experienced as a transition involving meaning-making, expectation formation, and emotional adjustment. Findings may inform nursing practice in inpatient palliative care by supporting caregiver-centered transition support.

Aging Luzerne County prison population cited as challenge The Dallas Post; by Jennifer Learn-Andes; 8/22/26 During recent legislative testimony about crime trends, Luzerne County Manager Romilda Crocamo highlighted the aging prison population as a concern that must be addressed. Older inmates with “escalating chronic health needs” are contributing to rising medical costs and challenging a prison staff “increasingly called upon to manage geriatric and end-of-life care in a setting never designed for it,” she told the Senate Majority Policy Committee and House Republican Policy Committee at a hearing earlier this month in Hazleton. “Corrections officers are trained for security, not hospice care,” Crocamo told the legislators, emphasizing “graying behind bars” is an emerging issue statewide.