Skip to main content
. Author manuscript; available in PMC: 2012 Aug 24.
Published in final edited form as: JAMA. 2010 Mar 17;303(11):1054–1061. doi: 10.1001/jama.2010.258

Table 3.

Palliative Care Program Characteristics According to Palliative Care Program Leaders

NCI
Cancer Centers
(N=61)a
Non-NCI
Cancer Centers
(N=35)a
P-
valueb

N % 95% CI (%)c N % 95% CI
(%)c

Time from Palliative Care Program
Activation

 >5 years 30 51 37–64 9 27 13–46 0.03

 Unknown or not answered 2 2

Estimated Patient Follow-up Time

 1–7 days 20 34 22–47 14 43 25–61

 >1–4 weeks 17 28 17–41 8 24 11–42

 >1–12 months 17 28 17–41 9 27 13–46 0.85

 >1 year 6 10 4–21 2 6 1–20

 Unknown or not answered 1 2

Professional Background of
Palliative Care Leaderd

 Medical Oncology 10 17 8–29 6 18 7–35 >0.99

 Palliative Medicine 32 53 40–66 6 18 7–35 0.001

 Nursing 5 8 3–18 10 30 16–49 0.009

 Unknown or not answered 1 2

Palliative Care Physician

Number of full-time equivalent
positions, median (Q1–Q3)
1 (1–2) 1 (0–2) 0.07

 Unknown or not answered 4 3

Number of physicians with at least
20% of protected time, median
(Q1–Q3)
0 (0–1.5) 0 0 0.047

 Unknown or not answered 1 2

Professional Requirement

Board certification for physicianse 34 57 43–69 15 45 28–64 0.39

 Unknown or not answered 1 2

Board certification for nursesf 19 32 20–45 8 24 11–42 0.49

 Unknown or not answered 1 2

Palliative Care Servicesd

Assessment and management of
psychiatric disorders
29 48 35–62 11 33 18–52 0.193

 Unknown or not answered 1 2

Obtaining advanced
directives/DNR orders
54 90 79–96 29 88 72–97 0.817

 Unknown or not answered 1 2

Ethical issues 44 73 60–84 29 88 72–97 0.121

 Unknown or not answered 1 2

Referrals to hospice, home care
and other placements
55 92 82–97 30 91 76–98 >0.99

 Unknown or not answered 1 2

Comprehensive care plan 53 88 77–95 27 82 65–93 0.53

 Unknown or not answered 1 2

Pain consultation 57 95 86–99 61 94 80–99 >0.99

 Unknown or not answered 1 2

Psychosocial support 54 90 79–96 25 76 58–89 0.08

 Unknown or not answered 1 2

Symptom management 57 95 86–99 33 100 89–100 0.55

 Unknown or not answered 1 2

Abbreviations: CI, confidence interval; DNR, Do-not-resuscitate; NCI, National Cancer Institute; Q1–Q3, interquartile range

a

Total number of respondents

b

Comparisons were made between NCI and non-NCI cancer centers using the Fisher’s exact test for categorical variables, and the Mann-Whitney test for continuous variables. Confidence intervals were computed using the exact binominal test. Missing values were not included in the analyses

c

Unless stated otherwise

d

More than one option may apply

e

Based on the question “Does your palliative care program require physicians to be certified by the American Board of Hospice and Palliative Medicine or American Board of Medical Specialties?”

f

Based on the question “Does your palliative care program require nurses to be certified by the National Board for Certification of Hospice and Palliative Nurses?”