Literature Review

What Walmart’s exit means for the future of telehealthModern Helathcare; Brock E.W. Turner; 5/3/24 There is a dark cloud hovering over virtual care as big companies have struggled to launch telehealth-centric businesses. Retail giant Walmart announced Tuesday it was closing all of its clinics and shuttering its virtual care platform. The decision impacted 51 clinics across five states and represents a sharp reversal of a five-year strategy. ... Here is what five telehealth executives and investors had to say about recent challenges in virtual care. ...

Patients, caregivers more willing to spend extra for home-based care, study finds McKnights Home Care; by Adam Healy; 4/30/24 [According to a new study published in JAMA Network Open:] ... On average, respondents were willing to spend an extra $51.81 for care that takes place in the home, compared to facility-based care such such as that in a skilled nursing facility. They were also more willing to pay more for care that can reduce their recovery time or reduce caregivers’ burden. Caregivers, meanwhile, also prioritized higher-quality care, even if it came with a heftier price tag. 

Association between opioid use disorder and palliative care: a cohort study using linked health administrative data in Ontario, CanadaCMAJ; by Jenny Lau, Mary M. Scott, Karl Everett, Tara Gomes, Peter Tanuseputro, Sheila Jennings, Rebecca Bagnarol, Camilla Zimmermann and Sarina R. Isenbergl; 4/29/24Background: People with opioid use disorder (OUD) are at risk of premature death and can benefit from palliative care. We sought to compare palliative care provision for decedents with and without OUD.Conclusion: We identified important differences in palliative care provided at the end of life between people with and without OUD. People with OUD were less likely to receive palliative care despite accessing palliative care earlier, which may reflect their end-of-life illness trajectories and underlying structural vulnerability that may prompt them to receive palliative care primarily in acute care. Health care providers should receive training in palliative care and addiction medicine to support people with OUD. 

NHPCO's 2024 Pediatric Palliative and Hospice Care Needs Assessment NHPCO; via email; 5/1/24 The 2024 Pediatric Palliative and Hospice Care Needs Assessment is a product of the National Hospice and Palliative Care Organization’s (NHPCO) Pediatric Advisory Council. The goal of the needs assessment is to gain a better understanding of the organizations and providers caring for pediatric patients with serious illnesses throughout the United States. The needs assessment helps create resources and support advocacy. The survey should only be completed once by each organization so please coordinate with your team to complete the survey. For help gathering information, we have created a PDF version of the survey but you will need to input the information into this survey for the information to be used.

UK survey finds 65% of adults are worried about access to palliative care Medical Xpress; by King's College London; 4/30/24 A survey commissioned by King's College London, and carried out by YouGov, has found that 65% of people across the U.K. are worried about access to palliative and end of life care, and 41% think there is too little NHS resource allocated to palliative care. The survey of 2,164 adults across the U.K. was commissioned by the Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care at King's to explore people's knowledge and experiences of palliative and end of life care. ... Findings from the survey conducted in January 2024 show that nearly a quarter of people (24%) across the U.K. say they don't know much about or have not heard of palliative care, with disparities in knowledge between white and ethnic minority groups.

20 states with most rural hospital closures Hospital CFO Report; by Molly Gamble; 4/29/24 Since 2005, 192 hospitals in rural America have shut down, and the COVID-19 pandemic only accelerated rural hospitals' risk of closure. Eight rural hospitals closed in 2023, as many as in 2022 and 2021 combined, according to the report. This followed a landmark 18 rural hospital closures in 2020, more than any year in the previous decade. [Click on the title's link for] 

WHIAANHPI and SmithsonianAPA unveil joint theme for 2024 Asian American, Native Hawaiian, and Pacific Islander Heritage Month: ‘Bridging Histories, Shaping Our Future’ U.S. Department of Health and Human Services; by HHS Press Office; 4/24/24Today, the White House Initiative on Asian Americans, Native Hawaiians, and Pacific Islanders (WHIAANHPI) and the Smithsonian Asian Pacific American Center are proud to present our joint 2024 theme for Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) Heritage Month: “Bridging Histories, Shaping Our Future.” The 2024 theme is an homage to our ancestors and invites all Americans to delve into the legacies, triumphs, and challenges that have shaped AA and NHPI communities. It embodies the spirit of our collective journey – one rooted in resilience and hope – and encourages us to forge intergenerational connections to honor our past and pave a durable path forward.

Attitudes and beliefs regarding Pain Medicine: results of a national palliative physician survey Journal of Pain and Symptom Management; by Daniel K Partain, Wil L Santivasi, Mihir M Kamdar, Susan M Moeschler, Jon C Tilburt, Karen M Fischer, Jacob J Strand; 4/25/24 online ahead of print Objectives: To evaluate referral rates, co-management strategies, and beliefs of palliative physicians about the value of Pain Medicine specialists in patients with serious illness. Conclusion: This study shows that Palliative Care physicians have highly positive attitudes toward Pain Medicine specialists, but referrals remain low. Facilitating professional collaboration via joint educational/clinical sessions is one possible solution to drive ongoing interprofessional care in patients with complex pain.

Terror and LGBTQIA+ identity: Thoughts on Dr. Candrian’s Newsweek reflection Anschutz Medical School (Univ of Colorado); by Melissa C Palmer, JD LCSW ACHP-SW APHSW-C; 4/23/24 ... When reflecting on the intersection of LGBTQIA+ culture, being a woman, and the medical community, I have experienced gaslighting and marginalization because of my own identity. Things have changed a little in the past years, particularly in younger generations where sexuality and gender identity are more fluid and accepted. But in healthcare, unconscious bias due to the indoctrination by our elders can cause patients identifying as LGBTQIA+ to receive disparate care. ... Editor's Note: 

Eagle Telemedicine announces solution to counter lack of palliative careCision, PRNewswire-PRWeb; by Eagle Telemedicine; 4/25/24 Eagle Telemedicine adds new specialty to increase access to life-saving palliative care in underserved communities. ... Only 71% of U.S. hospitals provide palliative care and metropolitan hospitals are 15% more likely to offer palliative care than rural hospitals (National Institute of Health). Through Eagle's Tele-Palliative Care, hospitals everywhere can offer this next level of care, any day of the year.

End-of-life care facility for people experiencing homelessness opens on Monona Drive [Wisconsin] Isthmus, Madison, WI, by Linda Falkenstein; 4/23/24It started as an idea from palliative care physician Dr. Ann Catlett. Catlett had experienced having to discharge terminally ill patients who had no housing onto the streets. And she had seen a model home where patients without a home could live out their days in peace, receive hospice services and other daily palliative care. ... Thus was born Solace Friends, a Madison-area nonprofit with the goal of opening a care facility for people with terminal illnesses who are unhoused or experiencing housing insecurity. ... The opening of the adult family home was celebrated Tuesday with a press conference and tour of the facility.

Health disparities across states: 6 new findings Becker's Clinical Leadership, by Kelly Gooch; 4/18/24 The Commonwealth Fund released a new report April 18 examining racial and ethnic disparities in healthcare access, quality and outcomes across the U.S. The report, titled "Advancing Racial Equity in U.S. Health Care: The Commonwealth Fund 2024 State Health Disparities Report," examined state health system performance for five racial and ethnic groups — (non-Hispanic) Black; white; American Indian and Alaska Native; Asian American, Native Hawaiian and Pacific Islander; and Hispanic (any race). [Click on the title's link for (1) Six summary findings, and (2) To download the report. 

30 systems sign on to new effort to advance age-friendly care Becker's Clinical Leadership, by Erica Carbajal; 4/17/24Thirty health systems are participating in a new collaborative through the Institute for Healthcare Improvement that aims to accelerate the adoption of age-friendly care for older adults. The Age-Friendly System-Wide Spread Collaborative is billed as a learning and action community through which systems will focus on embedding four evidence-based elements of high-quality care for older adults: what matters, medication, mentation and mobility, known as the 4Ms. Participants — which include Los Angeles-based Cedars Sinai, New York City-based Mount Sinai Health System and Atlanta-based Grady Health — will share data and collaborate to advance their own improvements in scaling age-friendly care across their sites of care. Participants also have the opportunity to be among the first to achieve a new IHI recognition for systemwide adoption of the 4Ms.