title: The presence of hospital-based palliative care programs: A resource dependence perspective.
abstract: BACKGROUND
  The presence of hospital-based palliative care programs has risen over time in the United States. Nevertheless, organizational and environmental factors that contribute to the presence of hospital-based palliative care programs are unclear.
  
  
  OBJECTIVE
  The aim of this study was to examine the role of organizational and environmental factors associated with the presence of hospital-based palliative care programs using resource dependence theory.
  
  
  METHODS
  Panel data from 2000 to 2009 American Hospital Association Annual Survey and the Area Resource File were used in this study. A random-effect logistic regression was used to analyze the relationship between organizational and environmental factors and the presence of hospital-based palliative care programs.
  
  
  RESULTS
  Hospitals with higher Medicare inpatient days, located in counties with higher Medicare managed penetration, and larger hospitals had greater odds of having a hospital-based palliative care program. Although hospitals in counties that have a higher percentage of individuals 65 years and older, for-profit and government hospitals were less likely to have a hospital-based palliative care program.
  
  
  CONCLUSIONS
  Hospitals will vary in the organizational resources available to them, as such, administrators' awareness of the relationship between resources and palliative care programs can help determine the relevance of a program in their hospital.
authors.affiliation: Latarsha Chisholm, MSW, PhD, is Assistant Professor, Department of Health Management and Informatics, University of Central Florida Health and Public Affairs II, Orlando. E-mail: lrchisho@email.unc.edu. Robert Weech-Maldonado, PhD, is Professor and L. R. Jordan Endowed Chair, Department of Health Services Administration, University of Alabama at Birmingham. Amy Yarbrough Landry, PhD, is Assistant Professor, Department of Health Service Administration, University of Alabama at Birmingham. Josué Patien Epané, PhD, is Assistant Professor, Department of Health Administration and Policy, University of Nevada, Las Vegas.
authors.forename: Latarsha
authors.initials: L
authors.lastname: Chisholm
authors.forename: Robert
authors.initials: R
authors.lastname: Weech-Maldonado
authors.forename: Amy Yarbrough
authors.initials: AY
authors.lastname: Landry
authors.forename: Josué Patien
authors.initials: JP
authors.lastname: Epané
mesh_terms: D000368:Aged; D006295:Health Resources / Q000600:supply & distribution*; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D006278:Medicare; D008962:Models, Theoretical; D010166:Palliative Care / Q000706:statistics & numerical data*; D014481:United States