Evidence map›Paper›PMID 34953767›Full record

ReviewJournal of the American Medical Directors Association2022

High-Quality Nursing Home and Palliative Care-One and the Same.

Mary Ersek, Kathleen T Unroe, Joan G Carpenter, John G Cagle, Caroline E Stephens, David G Stevenson

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of the American Medical Directors Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mary ErsekCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA; Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA, USA; University of Pennsylvania School of Nursing, Philadelphia, PA, USA. Electronic address: ersekm@nursing.upenn.edu.
Kathleen T UnroeIndiana University School of Medicine, Indianapolis, IN, USA; Indiana University Center for Aging Research, Indianapolis, IN, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA.
Joan G CarpenterCorporal Michael J. Crescenz VAMC, Philadelphia, PA, USA; University of Pennsylvania School of Nursing, Philadelphia, PA, USA; University of Maryland School of Nursing, Baltimore, MD, USA.
John G CagleUniversity of Maryland School of Social Work, Baltimore, MD, USA.
Caroline E StephensUniversity of Utah College of Nursing, Salt Lake City, UT, USA.
David G StevensonVeterans Affairs Tennessee Valley Healthcare System, Murfreesboro, TN, USA; Vanderbilt School of Medicine, Nashville, TN, USA.

Funding

Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot StudyK76AG054862 · NIA · UNIVERSITY OF UTAH · PI STEPHENS, CAROLINE · 2017 to 2021
$1.2M
Palliative Care Consultations for Persons with Alzheimer's Disease and related Dementia in the Medicare Skilled Nursing Facility (SNF) SettingK23NR017663 · NINR · UNIVERSITY OF PENNSYLVANIA · PI CARPENTER, JOAN GLEBA · 2019 to 2021
$494k
NIA NIH HHS K76 AG054862NINR NIH HHS K23 NR017663
6 · The paper itself

Abstract

Many individuals receiving post-acute and long-term care services in nursing homes have unmet palliative and end-of-life care needs. Hospice has been the predominant approach to meeting these needs, although hospice services generally are available only to long-term care residents with a limited prognosis who choose to forego disease-modifying or curative therapies. Two additional approaches to meeting these needs are the provision of palliative care consultation through community- or hospital-based programs and facility-based palliative care services. However, access to this specialized care is limited, services are not clearly defined, and the empirical evidence of these approaches' effectiveness is inadequate. In this article, we review the existing evidence and challenges with each of these 3 approaches. We then describe a model for effective delivery of palliative and end-of-life care in nursing homes, one in which palliative and end-of-life care are seen as integral to high-quality nursing home care. To achieve this vision, we make 4 recommendations: (1) promote internal palliative and end-of-life care capacity through comprehensive training and support; (2) ensure that state and federal payment policies and regulations do not create barriers to delivering high-quality, person-centered palliative and end-of-life care; (3) align nursing home quality measures to include palliative and end-of-life care-sensitive indicators; and (4) support access to and integration of external palliative care services. These recommendations will require changes in the organization, delivery, and reimbursement of care. All nursing homes should provide high-quality palliative and end-of-life care, and this article describes some key strategies to make this goal a reality.

Indexed as

Hospice CareHospicesTerminal CareHumansNursing HomesPalliative Careend-of-life carehealth policyNursing homespalliative careregulatoryreimbursement

Identifiers

PMID34953767
PMCPMC8821139

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.