Targeted Investment Improves Access to Hospice and Palliative Care

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Targeted Investment Improves Access to Hospice and Palliative Care Amy P. Abernethy, MD, Janet Bull, MD, Elizabeth Whitten, MBA, Rebecca Shelby, PhD, Jane L. Wheeler, MSPH, Donald H. Taylor, PhD Journal of Pain and Symptom Management Volume 46, Issue 5, Pages 629-639 (November 2013) DOI: 10.1016/j.jpainsymman.2012.12.012 Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 Four models of palliative and hospice care. Journal of Pain and Symptom Management 2013 46, 629-639DOI: (10.1016/j.jpainsymman.2012.12.012) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Change in DSR across North Carolina counties, 2003–2008, and relationship to The Duke Endowment (TDE) funding. a) Association of philanthropic investment with DSR, 2003. b) Association of philanthropic investment with DSR, 2009. c) Association of philanthropic investment with change in DSR, 2003–2009. DSR=death service ratio. Journal of Pain and Symptom Management 2013 46, 629-639DOI: (10.1016/j.jpainsymman.2012.12.012) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Mean DSR for all counties by year and funding status. DSR=death service ratio. Journal of Pain and Symptom Management 2013 46, 629-639DOI: (10.1016/j.jpainsymman.2012.12.012) Copyright © 2013 U.S. Cancer Pain Relief Committee Terms and Conditions