Palliative Care in New York State Nursing Homes: A Descriptive Study

Paula E. Lester, Fernando Kawai, Lucan Rodrigues, James Lolis, Diana Martins-Welch, Alexander Shalshin, Melissa J. Fazzari, Cynthia X. Pan

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objective: To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS). Measurements: A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions. Results: Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC. Conclusion: There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.

Original languageEnglish
Pages (from-to)203-210
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number2
StatePublished - 1 Feb 2018
Externally publishedYes


  • geriatrics
  • hospice
  • long-term care
  • nursing home
  • palliative care


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