Provision of Palliative Care during the COVID-19 Pandemic: A Systematic Review of Ambulatory Care Organizations in the United States




Lieneck, Cristian H.
Betancourt, Jose
Daemen, Cynthia
Eich, Rhiannon
Monty, Elisabeth
Petty, Mindy Jo

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Multidisciplinary Digital Publishing Institute


Background and objectives: Ambulatory (outpatient) healthcare organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to sustain a continuity of palliative care. Continuance of palliative care during major crises has been previously accomplished; however, the global pandemic presents new challenges to the US healthcare industry. Materials and methods: This systematic review queried four research databases to identify applicable studies related to the provision of palliative care during the pandemic in outpatient organizations within the United States. Results: There are two primary facilitators for the ongoing provision of palliative care for the outpatient segment of the United States healthcare industry: technology and advanced care planning. Researchers also identified two primary barriers in the outpatient setting impacting the continuance of palliative care: lack of resources and accessibility to care. Conclusions: This systematic review identified facilitators and barriers for palliative care initiatives in the United States that can further assist future outpatient (ambulatory care) providers at a global level as the pandemic and associated public health initiatives continue



palliative care, hospice care, ambulatory care, outpatient care, COVID-19, pandemic, Health Administration


Lieneck, C., Betancourt, J., Daemen, C., Eich, R., Monty, E., & Petty, M. J. (2021). Provision of palliative care during the COVID-19 pandemic: A systematic review of ambulatory care organizations in the United States. Medicina, 57(10), 1123.


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