ArticleBMC palliative care2026
Referral and utilization patterns for home-based palliative care services among older adults.
Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Authors and funding
4 authors.
Funding
Abstract
backgroundHome-based palliative care (HPC) improves quality of life for individuals with serious illness but remains underutilized in the United States, with persistent disparities in access. HPC is also frequently misconceived as appropriate only at the end of life.
aimThis study examined disparities in access to HPC by comparing patients who received services with those who were referred but not enrolled.
methodsA secondary analysis was conducted using 567 clinical records from a healthcare facility in the eastern United States between 2022 and 2023. Descriptive statistics, chi-square tests, and Cox proportional hazards regression model were used to compare demographic and clinical characteristics between groups.
resultsNo significant differences were observed by gender or race between patients who received HPC and those who did not. Significant differences were found for age (t = 2.33, p = 0.02), insurance type (p < 0.001), and referral source (p = 0.02). Patients who received HPC were more likely to be older, female, insured through Medicare Part B, and referred from larger hospitals.
conclusionThese findings underscore ongoing structural disparities in access to home-based palliative care and highlight the need for targeted strategies to improve equitable access to HPC services.
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