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Am J Hosp Palliat Care. 2014 Aug;31(5):521-6. doi: 10.1177/1049909113499441. Epub 2013 Aug 8.

Revisiting perceptions of quality of hospice care: managing for the ultimate referral.

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  • 1College of Business Administration, Belmont University, Nashville, TN, USA.
  • 2College of Business Administration, Belmont University, Nashville, TN, USA


Hospice services provided in the final months of life are delivered through complex interpersonal relationships between caregivers, patients, and families. Often, service value and quality are defined by these interpersonal interactions. This understanding provides hospice leaders with an enormous opportunity to create processes that provide the optimal level of care during the last months of life. The authors argue that the ultimate referral is attained when a family member observes the care of a loved one, and the family member conveys a desire to receive the same quality of services their loved one received at that facility. The point of this article is to provide evidence that supports the methods to ultimately enhance the patient's and family's experience and increase the potential for the ultimate referral.

© The Author(s) 2013.


employee satisfaction; hospice; patient and family satisfaction; patient-centered care; quality of care

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