title: Why do health professionals refer individual patients to specialist day hospice care?
abstract: BACKGROUND
  There are no nationally agreed criteria for admission to specialist palliative day care (SPDC). Previous work has called for future research to qualitatively examine why health and social professionals make referrals to day care. Therefore the current study aims to address this question using semistructured interviews to gain first hand accounts of referrers' reasons for making referrals to SPDC.
  
  
  METHODS
  The reasons for referral to SPDC of eight professionals were explored using semistructured interviews. An exploratory methodology (interpretative phenomenological analysis [IPA]) was used to analyze the data to allow for an in-depth investigation.
  
  
  RESULTS
  Six main themes were apparent with regard to referring a patient to SPDC: physical, social and psychological well-being, continuity of care, introduction to the hospice environment, and caregiver respite.
  
  
  CONCLUSIONS
  This study provides an insight into reasons for referral to SPDC. Referrers value the multiprofessional team, the holistic approach to care as useful to managing difficult, complex, and persistent problems in patients wishing to be cared for in the community. Additional benefits include a helpful introduction to hospice services and much needed regular respite for caregivers. Future research into patient and professional perceptions of the process of referral to SPDC could be useful. Expansion of the current study could contribute to the development of a standardized referral tool to be used in conjunction with referrers' clinical judgment.
authors.affiliation: Department of Clinical Psychology, University of Hull, Hull, United Kingdom. sbradley95@gmail.com
authors.forename: Sarah Elizabeth
authors.initials: SE
authors.lastname: Bradley
authors.forename: Dorothy
authors.initials: D
authors.lastname: Frizelle
authors.forename: Miriam
authors.initials: M
authors.lastname: Johnson
mesh_terms: D003266:Continuity of Patient Care; D003657:Decision Making; D005260:Female; D006282:Health Personnel; D017051:Hospice Care; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D012017:Referral and Consultation; D012144:Respite Care; D012934:Social Isolation; D013038:Specialization