Title

Integrating Comprehensive Palliative Care Management into a PCMH Model

Date of Award

6-12-2013

Document Type

Capstone Project

Disciplines

Healthcare Leadership

Degree Name

Master of Professional Studies

Department

Healthcare Leadership

Advisor

Irene Frederick

Keywords

palliative

Abstract

Palliative care is a valuable and underutilized resource in the American healthcare system. This study examined the sources of palliative care fragmentation. Historical descriptions of palliative care demonstrated the lack of correspondence of physicians' discussions which resulted in varying definitions and lack of recognition among historical origins. Lack of comprehension of palliative care among medical professionals and society resulted in the siloing effect and the fragmentation of delivery of care. Advancements in technology and specialties of care led to the disregard of comfort care and a focus on curative medicine. Law and policy deficiencies hinder the practices of pain relief and add to physicians misconceptions. Palliative care coordination is a necessity in healthcare reform, presented in this paper as a best practice model for integration into a Patient-Centered Medical Home model.

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