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American Journal of Hospice and Palliative Medicine®
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What's this?

End-of-Life Care in Hancock County, Maine: A Community Snapshot

Susan G. Ostertag, MD

Ellsworth Family Practice, Ellsworth, Maine

Walter B. Forman, MD, FACP, CMD, FAAHPM

Department of Internal Medicine, Division of Geriatrics, Palliative Medicine Program, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, wbforman{at}unm.edu

This study presents a model for identifying end-of-life concerns in 1 rural community: Hancock County, Maine. Focus groups and structured interviews were held with primary care physicians, hospice staffs, clergy, hospice board members, long-term care facility staffs, and families of patients who had died either with or without hospice services. A list of suggestions for action within the community was generated from the interviews. Specific ideas targeted for implementation as a result of this project were educational sessions for long-term care facility staff, hospital grand rounds for primary care physicians, collaboration to bring information to the general public, stronger liaisons between long-term care facility and hospice staffs, and investigation of the development of a dedicated hospice facility. This is a simple, easily accomplished model to evaluate hospice needs in a small community.

Key Words: rural • hospice • focus groups • medical personnel • end-of-life care

This version was published on May 1, 2008

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 2, 132-138 (2008)
DOI: 10.1177/1049909107310143
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