title: The intersection of long-term care and end-of-life care.
abstract: High-quality end-of-life care is an important component of high-quality long-term care, yet many elderly individuals receiving long-term care services do not obtain good care as they approach death. This study provides a systematic review of articles that describe care received at the nexus of long-term care and end-of-life care. The articles identified three primary types of barriers to high-quality end-of-life care in long-term care settings: delivery system barriers intrinsic to long-term care settings, barriers related to features of coverage and reimbursement, and barriers resulting from the current regulatory approach for long-term care providers. The authors recommend areas for future research that would help to support progress on public policy that governs the provision of care at this important intersection.
authors: Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. huskamp@hcp.med.harvard.edu
authors: Haiden A
authors: HA
authors: Huskamp
authors: Christine
authors: C
authors: Kaufmann
authors: David G
authors: DG
authors: Stevenson
mesh_terms: D006801:Humans; D008134:Long-Term Care / Q000592:standards*; D011787:Quality of Health Care; D012112:Residential Facilities; D013727:Terminal Care / Q000592:standards*