Barriers to physicians' decisions to discuss hospice: Insights gained from the United States hospice model

E. Kiernan McGorty, Brian H. Bornstein

Research output: Contribution to journalReview articlepeer-review

74 Scopus citations

Abstract

Due to its comprehensive and cost-saving design, hospice has become a critical component of health care. Physicians have become the primary gatekeepers to information on hospice and sources of referral to hospice. However, many physicians do not discuss hospice options until late in the disease course, when patients and their families are no longer able to benefit from hospice services. Although physicians, as well as patients and hospice personnel, cite patient and hospice structure factors as barriers, the present article will focus on barriers physicians have more control over, such as their discomfort discussing terminality and fear of losing contact with patients. Focusing on the American hospice model, the present article will review past findings, examine gaps in the research, and propose systematic ways to discern whether the factors physicians claim are barriers actually affect their decision making about hospice referral.

Original languageEnglish (US)
Pages (from-to)363-372
Number of pages10
JournalJournal of Evaluation in Clinical Practice
Volume9
Issue number3
DOIs
StatePublished - Aug 2003

Keywords

  • Decision-making
  • Hospice

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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