An article published in the February 2018 issue of Health Affairs on palliative care leadership centers reported that in the United States,1800 hospitals offer palliative care services, which means that 80% of hospitalized patients in the U.S. have access to these services. From 2000-2015, hospitals with more than 50 beds that had palliative care programs tripled, from 25-75%.
The increased availability of palliative care services for all patients, not just those with cancer, is impressive. However, looking at the statistics another way, 1 in 5 hospitalized patients do not have access to palliative care when needed.
For patients with cancer, this can potentially mean the difference between effective symptom management and end-of-life care, and inadequate usual care. Even in small communities, palliative care services—or referral—should be available. With the emergence of telemedicine and other types of electronic communication (e.g., webcams), palliative care services have the potential to be delivered remotely to all patients in need of these services.