PMID- 37083453
OWN - NLM
STAT- MEDLINE
DCOM- 20230504
LR  - 20230624
IS  - 1557-7740 (Electronic)
IS  - 1557-7740 (Linking)
VI  - 26
IP  - 5
DP  - 2023 May
TI  - Core Roles and Responsibilities of Physicians in Hospice Care: A Statement by and 
      for U.S. Hospice and Palliative Care Physicians.
PG  - 613-621
LID - 10.1089/jpm.2023.0194 [doi]
AB  - Physicians are integral members of hospice interdisciplinary teams (IDTs). This 
      statement delineates the core roles and responsibilities of hospice medical 
      directors (HMDs) and hospice physicians who are designated by the hospice program 
      to fulfill core HMD responsibilities. In addition, we describe the basic elements 
      of hospice programs' structure and function required for hospice physicians to 
      fulfill their roles and responsibilities. Finally, we call attention to hospice 
      program characteristics and circumstances of the work environment that should 
      raise a hospice physician's concerns that hospice patients and families are at 
      risk of receiving low-quality care. Such factors include lack of a functioning 
      IDT, minimal physician involvement in direct patient care and clinical IDT 
      meetings, inadequate responses to symptom emergencies in patients' homes, and no 
      or limited access to general inpatient and continuous home hospice care. We write 
      as individual physicians who are concerned about troubling variability in access 
      to and quality of U.S. hospice care. This statement arises from the need to 
      protect the safety and well-being of vulnerable seriously ill people with their 
      families from low-quality hospice care. This statement is primarily intended to 
      be a resource to hospice physicians in negotiating employment agreements and 
      justifying staffing and programmatic resources necessary to perform their jobs 
      well. This statement may also serve as a resource and reference for patient 
      advocacy groups, hospice industry leaders, health services oversight 
      organizations, accountability agencies, and legislatures in efforts to ensure the 
      safety, quality, and reliability of hospice care in the United States.
FAU - Byock, Ira
AU  - Byock I
LA  - eng
PT  - Journal Article
DEP - 20230421
PL  - United States
TA  - J Palliat Med
JT  - Journal of palliative medicine
JID - 9808462
SB  - IM
MH  - Humans
MH  - United States
MH  - *Hospice Care
MH  - *Hospices
MH  - Palliative Care
MH  - Reproducibility of Results
MH  - *Physicians
OTO - NOTNLM
OT  - clinical standards
OT  - ethical standards
OT  - hospice care
OT  - hospice medical director
OT  - roles and responsibilities
EDAT- 2023/04/21 18:42
MHDA- 2023/05/04 12:42
CRDT- 2023/04/21 14:34
PHST- 2023/05/04 12:42 [medline]
PHST- 2023/04/21 18:42 [pubmed]
PHST- 2023/04/21 14:34 [entrez]
AID - 10.1089/jpm.2023.0194 [doi]
PST - ppublish
SO  - J Palliat Med. 2023 May;26(5):613-621. doi: 10.1089/jpm.2023.0194. Epub 2023 Apr 
      21.