{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:55:12Z","timestamp":1777384512316,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,1,31]],"date-time":"2017-01-31T00:00:00Z","timestamp":1485820800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>A statewide survey was completed by 149 respondents who named 61 different NHs as their workplace. Questions were related to presence, type, and composition of PC programs; perceptions of PC; barriers to implementing PC; and qualifying medical conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Hospice is less available than palliative or comfort care programs, with three-fourths of NYS NH responded providing a PC program. In general, medical directors and physicians were more similar in perspective about the role\/impact of PC compared to nursing and others. There was general agreement about the positive impact and role of PC in the NH. Funding and staffing were recognized as barriers to implementing PC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is growing penetration of PC programs in NH facilities in NYS, with good perception of the appropriate utilization of PC programs. Financial reimbursement and staffing are barriers to providing PC in the NH and need to be addressed by the health-care system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909117691229","type":"journal-article","created":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T07:57:18Z","timestamp":1509955038000},"page":"203-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Palliative Care in New York State Nursing Homes: A Descriptive Study"],"prefix":"10.1177","volume":"35","author":[{"given":"Paula E.","family":"Lester","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine, Winthrop University Hospital, Mineola, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Kawai","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Weill Cornell Medical College, New York\u2013Presbyterian Queens, Flushing, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucan","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Flushing Hospital Medical Center, Flushing, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Lolis","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Hofstra Northwell School of Medicine, Great Neck, NY, USA"},{"name":"Department of Medicine, Highfield Gardens Care Center, Great Neck, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Martins-Welch","sequence":"additional","affiliation":[{"name":"Division of Geriatric and Palliative Medicine, Hofstra Northwell School of Medicine, Great Neck, NY, USA"},{"name":"Department of Medicine, Highfield Gardens Care Center, Great Neck, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Shalshin","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Plainview\u2013Syosset Hospitals, Northwell Health, Great Neck, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J.","family":"Fazzari","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Stony Brook University School of Medicine, Winthrop University Hospital, Mineola, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia X.","family":"Pan","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care Medicine, Weill Cornell Medical College, New York\u2013Presbyterian Queens, Flushing, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,31]]},"reference":[{"key":"bibr1-1049909117691229","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0912"},{"key":"bibr2-1049909117691229","unstructured":"Herman C. National Consensus Project Updates Palliative Care Guidelines. Aging Today Online. 2013. http:\/\/asaging.org\/blog\/national-consensus-project-updates-palliative-care-guidelines. Accessed January 23, 2017."},{"key":"bibr3-1049909117691229","unstructured":"Center to Advance Palliative Care. https:\/\/www.capc.org\/about\/palliative-care\/. Published January 15, 2015. Accessed September 27, 2016."},{"key":"bibr4-1049909117691229","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.1.113"},{"key":"bibr5-1049909117691229","unstructured":"Medicare.gov: The Official U.S. Government Site for Medicare. Hospice and Respite Care. https:\/\/www.medicare.gov\/coverage\/hospice-and-respite-care.html. Accessed January 23, 2017."},{"key":"bibr6-1049909117691229","unstructured":"The National POLST Paradigm Task Force. http:\/\/www.polst.org\/wp-content\/uploads\/2013\/06\/TheNationalPOLSTParadigmTaskForcegoals2012.pdf. Published 2012. 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Accessed January 3, 2017."}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909117691229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049909117691229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049909117691229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:30:23Z","timestamp":1777368623000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049909117691229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,31]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1049909117691229"],"URL":"https:\/\/doi.org\/10.1177\/1049909117691229","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,31]]}}}