Palliative care in rural communities Review


Authors: Fasolino, T.; Mayfield, M. E.; Valentine, K.; Rosa, W. E.; Koci, A.
Review Title: Palliative care in rural communities
Abstract: Rural communities in the United States are frequently marginalized and misrepresented. These communities face unique challenges, such as limited access to health care, nutritious food, and clean water, that contribute to persistent health disparities. This article presents the CARE (Complex, Access, Resourceful, Extraordinary) framework, which illustrates the dichotomy of rurality-its negative and positive aspects-in order to inform the development of palliative care delivery in rural settings. Various palliative care models are described that address access gaps, bolster provider capacity, and increase the provision of specialty palliative care. However, workforce shortages and reimbursement structures restrict the expansion of these services. Nurses, the largest segment of the health care workforce and the most trusted professionals, must partner with interdisciplinary colleagues and rural communities to advocate for equitable and inclusive care. © 2024 Lippincott Williams and Wilkins. All rights reserved.
Keywords: united states; organization and management; palliative care; palliative therapy; rural population; palliative nursing; health care access; health services accessibility; access; serious illness; advocacy; rural health services; humans; human; rural communities; social drivers of health; rural health care
Journal Title: American Journal of Nursing
Volume: 124
Issue: 8
ISSN: 0002-936X
Publisher: Lippincott Williams & Wilkins  
Date Published: 2024-08-01
Start Page: 50
End Page: 55
Language: English
DOI: 10.1097/01.Naj.0001027716.70431.35
PUBMED: 39051815
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. William   Rosa
    201 Rosa