title: Palliative Care in New York State Nursing Homes: A Descriptive Study.
abstract: OBJECTIVE
  To describe the current landscape of palliative care (PC) in nursing homes (NHs) in New York State (NYS).
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: 1 Division of Geriatric Medicine, Winthrop University Hospital, Mineola, NY, USA.
authors.forename: Paula E
authors.initials: PE
authors.lastname: Lester
authors.affiliation: 2 Division of Geriatrics and Palliative Care Medicine, Weill Cornell Medical College, New York-Presbyterian Queens, Flushing, NY, USA.
authors.forename: Fernando
authors.initials: F
authors.lastname: Kawai
authors.affiliation: 3 Division of Palliative Care, Flushing Hospital Medical Center, Flushing, NY, USA.
authors.forename: Lucan
authors.initials: L
authors.lastname: Rodrigues
authors.affiliation: 4 Division of Geriatric and Palliative Medicine, Hofstra Northwell School of Medicine, Great Neck, NY, USA.|5 Department of Medicine, Highfield Gardens Care Center, Great Neck, NY, USA.
authors.forename: James
authors.initials: J
authors.lastname: Lolis
authors.affiliation: 4 Division of Geriatric and Palliative Medicine, Hofstra Northwell School of Medicine, Great Neck, NY, USA.|5 Department of Medicine, Highfield Gardens Care Center, Great Neck, NY, USA.
authors.forename: Diana
authors.initials: D
authors.lastname: Martins-Welch
authors.affiliation: 6 Division of Palliative Medicine, Plainview-Syosset Hospitals, Northwell Health, Great Neck, NY, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Shalshin
authors.affiliation: 7 Department of Biostatistics, Stony Brook University School of Medicine, Winthrop University Hospital, Mineola, NY, USA.
authors.forename: Melissa J
authors.initials: MJ
authors.lastname: Fazzari
authors.affiliation: 2 Division of Geriatrics and Palliative Care Medicine, Weill Cornell Medical College, New York-Presbyterian Queens, Flushing, NY, USA.
authors.forename: Cynthia X
authors.initials: CX
authors.lastname: Pan
mesh_terms: D001291:Attitude of Health Personnel; D019538:Health Care Surveys; D006707:Homes for the Aged / Q000458:organization & administration / Q000706:statistics & numerical data*; D017051:Hospice Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D009518:New York; D009735:Nursing Homes / Q000458:organization & administration / Q000706:statistics & numerical data*; D010166:Palliative Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D011446:Prospective Studies
keywords: geriatrics; hospice; long-term care; nursing home; palliative care