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Hospitalist, palliative care, utilization management

Robin E Fail, Diane E Meier
As the shift to value-based payment accelerates, hospitals are under increasing pressure to deliver high-quality, efficient services. Palliative care approaches improve quality of life and family well-being, and in doing so, reduce resource utilization and costs. Hospitalists frequently provide palliative care interventions to their patients, including pain and symptom management and engaging in conversations with patients and families about the realities of their illness and treatment plans that align with their priorities...
March 1, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Jennifer K Walter, Lisa Ross DeCamp, Kavita S Warrier, Terrance P Murphy, Patricia M Keefer
BACKGROUND AND OBJECTIVE: Parents of children with complex chronic conditions report fragmented care, unmet medical needs, and financial strain from health care costs. The aim of this study was to identify both prevalent themes discussed during pediatric palliative care consultation of patients with complex chronic conditions cared for by pediatric generalists and variation in consultation content by age and timing of consultation in disease course. METHODS: Forty randomly selected initial inpatient or outpatient consultation notes authored by the pediatric palliative care team at an academic, tertiary care children's hospital...
April 2013: Hospital Pediatrics
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