• Clin. Geriatr. Med. · May 2015

    Review

    Palliative care in the era of health care reform.

    • Kavita Patel and Domitilla Masi.
    • Engelberg Center for Health Care Reform, The Brookings Institution, 1775 Massachusetts Avenue, Northwest, Washington, DC 20036, USA. Electronic address: KPatel@brookings.edu.
    • Clin. Geriatr. Med. 2015 May 1; 31 (2): 265-70.

    AbstractResearch 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.Copyright © 2015 Elsevier Inc. All rights reserved.

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