Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework
The purpose of the study is to examine the perspectives of palliative care (PC) providers about the needs, barriers, and disparities to integrate PC into the community setting. This study used a descriptive qualitative design to complete a phone interview that incorporated the United States Departme...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-10-01
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| Series: | Palliative Medicine Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/pmr.2023.0048 |
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| author | Savannah Horvick Nancy Dias |
| author_facet | Savannah Horvick Nancy Dias |
| author_sort | Savannah Horvick |
| collection | DOAJ |
| description | The purpose of the study is to examine the perspectives of palliative care (PC) providers about the needs, barriers, and disparities to integrate PC into the community setting. This study used a descriptive qualitative design to complete a phone interview that incorporated the United States Department of Health and Human Services' (USDHHS) social determinants of health (SDOH) framework domains, as well as a demographic survey. Thirteen PC providers and administrators were interviewed to ascertained their perceptions about community-based palliative care (CBPC) related to the SDOH. Subthemes were ascertained using the USDHHs' SDOH as themes: lack of patient access to resources, challenges of institutional philosophic buy-in, gaps in medical education, lack of health care literacy among patients, distrust in health care, differing perspectives on quality of life, social and community support, environmental injustice, lack of interdisciplinary collaboration, multidisciplinary continuing education, and CBPC program evaluation. The results from this study provide evidence to help identify potential barriers to planning necessary CBPC interventions based on potential SDOH disparities. |
| format | Article |
| id | doaj-art-c40d939d7ea449afb49fce7ab61960ee |
| institution | DOAJ |
| issn | 2689-2820 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Palliative Medicine Reports |
| spelling | doaj-art-c40d939d7ea449afb49fce7ab61960ee2025-08-20T02:59:07ZengMary Ann LiebertPalliative Medicine Reports2689-28202024-10-0151818510.1089/pmr.2023.0048Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health FrameworkSavannah Horvick0Nancy Dias1Department of Nursing Science, College of Nursing, East Carolina University, Greenville, North Carolina, USA.Department of Nursing Science, College of Nursing, East Carolina University, Greenville, North Carolina, USA.The purpose of the study is to examine the perspectives of palliative care (PC) providers about the needs, barriers, and disparities to integrate PC into the community setting. This study used a descriptive qualitative design to complete a phone interview that incorporated the United States Department of Health and Human Services' (USDHHS) social determinants of health (SDOH) framework domains, as well as a demographic survey. Thirteen PC providers and administrators were interviewed to ascertained their perceptions about community-based palliative care (CBPC) related to the SDOH. Subthemes were ascertained using the USDHHs' SDOH as themes: lack of patient access to resources, challenges of institutional philosophic buy-in, gaps in medical education, lack of health care literacy among patients, distrust in health care, differing perspectives on quality of life, social and community support, environmental injustice, lack of interdisciplinary collaboration, multidisciplinary continuing education, and CBPC program evaluation. The results from this study provide evidence to help identify potential barriers to planning necessary CBPC interventions based on potential SDOH disparities.https://www.liebertpub.com/doi/10.1089/pmr.2023.0048community-based palliative caresocial determinants of healthpalliative care policyaccess to resourcesinstitutional buy-in |
| spellingShingle | Savannah Horvick Nancy Dias Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework Palliative Medicine Reports community-based palliative care social determinants of health palliative care policy access to resources institutional buy-in |
| title | Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework |
| title_full | Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework |
| title_fullStr | Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework |
| title_full_unstemmed | Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework |
| title_short | Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework |
| title_sort | palliative care providers and administrators perspectives on integrating community based palliative care using the social determinants of health framework |
| topic | community-based palliative care social determinants of health palliative care policy access to resources institutional buy-in |
| url | https://www.liebertpub.com/doi/10.1089/pmr.2023.0048 |
| work_keys_str_mv | AT savannahhorvick palliativecareprovidersandadministratorsperspectivesonintegratingcommunitybasedpalliativecareusingthesocialdeterminantsofhealthframework AT nancydias palliativecareprovidersandadministratorsperspectivesonintegratingcommunitybasedpalliativecareusingthesocialdeterminantsofhealthframework |