Why Palliative Care?

The hospice community has been instrumental in the growth of hospital-based palliative care, as it has looked for additional ways to serve patients and their families. Many hospital programs have been supported or initiated by hospice professionals. At the same time, some in the hospice industry have wondered aloud why hospital-based palliative care should be necessary.

Why aren't all these patients referred to hospice? In response to these concerns, it is important to point out that more than 75 percent of the nation's predictable deaths occur in hospitals and nursing homes, with death rates in hospital ranging from as low as 22 percent in some small communities in Oregon (where hospice utilization is correspondingly higher) to as high as 52 percent in some urban areas on the East Coast (www.dartmouthatlas.org ). In addition, virtually all persons with a serious illness spend at least some time in a hospital, usually on multiple occasions, in their last year of life.

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