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Kimball J, Hawkins-Taylor C, Anderson A, Anderson DG, Fornehed MLC, Justis P, Lalani N, Mollman S, Pravecek B, Rice J, Shearer J, Stein D, Teshale SM, Bakitas MA. Top Ten Tips Palliative Clinicians Should Know About Rural Palliative Care in the United States. J Palliat Med 2024. [PMID: 38489603 DOI: 10.1089/jpm.2024.0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2024] Open
Abstract
Palliative care improves outcomes, yet rural residents often lack adequate and equitable access. This study provides practical tips to address palliative care (PC)-related challenges in rural communities. Strategies include engaging trusted community partners, addressing cultural factors, improving pediatric care, utilizing telehealth, networking with rural teams including caregivers, and expanding roles for nurses and advanced practice providers. Despite complex barriers to access, providers can tailor PC to be patient-centered, respect local values, and bridge gaps. The "Top 10" format emphasizes the relevant issues to enable clinicians to provide optimal care for people from rural areas.
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Affiliation(s)
- Jack Kimball
- Department of Palliative Medicine, Duke University Health System, Durham, North Carolina, USA
| | | | - Anne Anderson
- Palliative Care Program, Seattle Children's Hospital, Seattle, Washington, USA
| | | | | | - Patricia Justis
- Rural Health/Office of Community Health Systems, Washington State Department of Health, Tumwater, Washington, USA
| | - Nasreen Lalani
- School of Nursing, Purdue University, West Lafayette, Indiana, USA
| | - Sarah Mollman
- College of Nursing, South Dakota State University, Rapid City, South Dakota, USA
| | - Brandi Pravecek
- College of Nursing, South Dakota State University, Sioux Falls, South Dakota, USA
| | | | | | - Dillon Stein
- Division of Palliative Care, Independence Health System, Butler, Pennsylvania, USA
| | - Salom M Teshale
- The National Academy for State Health Policy, Washington, District of Columbia, USA
| | - Marie A Bakitas
- School of Nursing/Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
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