A comparison of hospice in the United States and the United Kingdom: implications for policy and practice.
The modern hospice movement in the United States was modeled on the specialized care for dying individuals that was championed by Dame Cicely Saunders, a social worker, nurse, and physician, in London in the 1960s. A collaboration between Saunders and Florence Wald, then at Yale University, led to the establishment of the first hospice in the United States in 1974. Despite similar foundations, the provision of hospice care differs in the United States and the United Kingdom with regard to financing and access. This article reviews these similarities and differences and discusses implications for U.S. hospice policy.
Remington
Ruth
R
Department of Nursing, School of Health and Environment, University of Massachusetts Lowell, Lowell, Massachusetts 01854-5126, USA. Ruth_Remington@uml.edu
Wakim
Grace
G
D004608:Eligibility Determination; D006291:Health Policy; D006297:Health Services Accessibility; D006738:Hospices / Q000191:economics / Q000706:statistics & numerical data; D006113:United Kingdom; D014481:United States