Title

The Presence Of Hospital-Based Palliative Care Programs: A Resource Dependence Perspective

Keywords

Hospitals; Key words:; Medicare and Medicaid; palliative care programs; resource dependence theory

Abstract

Background: The presence of hospital-based palliative care programs has risen over time in the United States. Nevertheless, organizational and environmental factors that contribute to the presence of hospital-based palliative care programs are unclear. Purpose: The aim of this study was to examine the role of organizational and environmental factors associated with the presence of hospital-based palliative care programs using resource dependence theory. Methodology: Panel data from 2000 to 2009 American Hospital Association Annual Survey and the Area Resource File were used in this study. A random-effect logistic regression was used to analyze the relationship between organizational and environmental factors and the presence of hospital-based palliative care programs. Findings: Hospitals with higher Medicare inpatient days, located in counties with higher Medicare managed penetration, and larger hospitals had greater odds of having a hospital-based palliative care program. Although hospitals in counties that have a higher percentage of individuals 65 years and older, for-profit and government hospitals were less likely to have a hospital-based palliative care program. Practice Implications: Hospitals will vary in the organizational resources available to them, as such, administrators' awareness of the relationship between resources and palliative care programs can help determine the relevance of a program in their hospital.

Publication Date

10-24-2015

Publication Title

Health Care Management Review

Volume

40

Issue

4

Number of Pages

356-362

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1097/HMR.0000000000000031

Socpus ID

84942194853 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84942194853

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