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Comment & Response
July 2016

A Perspective on Hospice Reform and Additional Caregiver Support—Reply

Author Affiliations
  • 1Division of Geriatrics, University of Utah School of Medicine, Salt Lake City
  • 2Home Based Primary Care (HBPC), Salt Lake City, Utah
  • 3George E. Wahlen Salt Lake City Veterans Affairs Medical Center, Salt Lake City, Utah
  • 4Inspiration Hospice, Salt Lake City, Utah
  • 5Division of Geriatrics, University of California San Francisco, San Francisco
  • 6Hospice & Palliative Care, San Francisco VA Medical Center, San Francisco, California
JAMA Intern Med. 2016;176(7):1032-1033. doi:10.1001/jamainternmed.2016.2742

In Reply We would like to thank Mrss Conway Church and Conway McCoin for the thoughtful response to our commentary.1 We wish to express our deepest sympathy and were saddened to hear that their sister’s hospice care did not meet the needs of their family. As strong advocates for high-quality hospice care, we believe that meeting patient and family needs at the end of life must be the number one priority of any hospice agency. Our concern is that increased frequency of hospice skilled visits in the last days of life is not synonymous with high-quality care, nor will it necessarily meet the individual needs of all patients and family members.

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