• Tamara Dumanovsky, Maggie Rogers, Lynn Hill Spragens, R Sean Morrison, and Diane E Meier.
• 1 Center to Advance Palliative Care , New York, New York.
• J Palliat Med. 2015 Dec 1; 18 (12): 998-9.

BackgroundOver the past decade over two-thirds of U.S. hospitals have established palliative care programs. National data on palliative care program staffing and its association with operational outcomes are limited.ObjectiveThe objective of this report is to examine the impact of palliative care program staffing on access to palliative care in U.S. hospitals.MethodsData from the National Palliative Care Registry™ for 2014 were used to calculate staffing levels, palliative care service penetration, and time to initial palliative care consultation for 398 palliative care programs operating across 482 U.S. hospitals.ResultsHospital-based palliative care programs reported an average service penetration of 4.4%. Higher staffing levels were associated with higher service penetration; higher service penetration was associated with shorter time to initial palliative care consultation.DiscussionThis report demonstrates that operational effectiveness, as measured by staffing and palliative care service penetration, is associated with shorter time to palliative care consultation.

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