Can default palliative care referrals increase consults?

03/05/25 at 03:00 AM

Can default palliative care referrals increase consults? 
Medscape; edited by Gargi Mukherjee; 3/4/25 
A default palliative care referral intervention increased palliative care consultations by more than fivefold and decreased end-of-life systemic therapy by more than half among patients with advanced cancer being treated in the community oncology setting. ...

  • Early palliative care among patients with cancer can enhance quality of life and reduce intensive end-of-life care and is recommended by national guidelines. However, there are barriers to making these referrals and limited strategies to increase access in the community oncology setting.
  • Researchers developed an intervention — an algorithm-based default palliative care referral, embedded in an electronic health record (EHR) — to help overcome barriers to palliative care referrals. The EHR algorithm assigned scores to each patient based on their palliative care risk factors to identify those eligible for palliative care.
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