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American Journal of Hospice and Palliative Medicine®, Vol. 22, No. 5, 363-368 (2005)
DOI: 10.1177/104990910502200509

Providing hospice care in rural areas: Challenges and strategies

Michelle M. Casey, MS

University of Minnesota Rural Health Research Center, Division of Health Services Research and Policy, Minneapolis, Minnesota

Ira S. Moscovice, PhD

Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, Minnesota

Beth A. Virnig, PhD, MPH

Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, Minnesota

Sara B. Durham, MS

Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, Minnesota

Hospices in rural settings face challenges in the provision of hospice care as a result of their location and the size of their service area population. To ascertain the challenges that hospices face in serving rural communities, researchers conducted in-depth case studies of four different models of hospice care in rural areas. The authors describe strategies used by the case study hospices and recommend policies that could increase access to hospice care for rural Medicare beneficiaries and other rural residents. National initiatives to improve end-of-life care need to consider the special challenges faced by rural hospices.

Key Words: hospice • rural • end-of-life care • cost of care


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