June 10, 2026 · Journal of pain and symptom management · DOI: 10.1016/j.jpainsymman.2026.06.002

Measuring How Palliative Care is Delivered: Using Provider Sequences as a New Quality Signal

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The authors investigate how the delivery of palliative care (PC) through different provider sequences affects end-of-life (EOL) outcomes for patients with advanced cancer. By analyzing Medicare claims data, they identify specific provider sequence patterns and their correlation with EOL quality measures, finding that certain sequences, such as Independent Specialist to Team Specialist, are associated with increased hospice use. This study suggests that understanding provider sequences could enhance insights into the quality of palliative care delivery and its impact on patient outcomes.

John J Shin, Amber E Barnato, Gabriel A Brooks, Aidan M Campbell, Ravi Chandra Thota, A James O'Malley, Amro M Farid, Inas S Khayal

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