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J Hosp Med. 2018 Mar 1;13(3):194-197. doi: 10.12788/jhm.2896. Epub 2017 Dec 20.

Improving Quality of Care for Seriously Ill Patients: Opportunities for Hospitalists.

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Center to Advance Palliative Care, New York, New York, USA.
Center to Advance Palliative Care, New York, New York, USA.


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. Hospitalists are ideally positioned to identify patients who could most benefit from palliative care approaches and often refer the most complex cases to specialty palliative care teams. Though hospitalists are frequently called upon to provide palliative care, most lack formal training in these skills, which have not typically been included in medical education. Additional training in communication, safe and effective symptom management, and other palliative care knowledge and skills are available in both in-person and online formats.


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