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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.

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1 to 3 of 3 Research Studies Displayed
Kamal AH, Wolf SP, Troy J
Policy changes key to promoting sustainability and growth of the specialty palliative care workforce.
The authors used 2018 clinician survey data to model risk factors associated with palliative care clinicians leaving the field early. Their modeling revealed an impending "workforce valley." They recommended policies that support high-value, team-based palliative care through expansion in all segments of the specialty palliative care workforce, combined with payment reform to encourage the deployment of sustainable teams.
AHRQ-funded; HS023681.
Citation: Kamal AH, Wolf SP, Troy J . Policy changes key to promoting sustainability and growth of the specialty palliative care workforce. Health Aff 2019 Jun;38(6):910-18. doi: 10.1377/hlthaff.2019.00018..
View abstract on the National Library of Medicine site.
Keywords: Palliative Care, Policy, Provider, Teams, Workforce
Kavalieratos D, Siconolfi DE, Steinhauser KE
"It is like heart failure. It is chronic ... and it will kill you": a qualitative analysis of burnout among hospice and palliative care clinicians.
This study explored burnout among palliative care clinicians, specifically their experiences with burnout, their perceived sources of burnout, and potential individual, interpersonal, organizational, and policy-level solutions to address burnout. Common sources of burnout included increasing workload, tensions between nonspecialists and palliative care specialists, and regulatory issues. Participants proposed antiburnout solutions, including promoting the provision of generalist palliative care, frequent rotations on-and-off service, and organizational support for self-care.
AHRQ-funded; HS023681; HS022989.
Citation: Kavalieratos D, Siconolfi DE, Steinhauser KE . "It is like heart failure. It is chronic ... and it will kill you": a qualitative analysis of burnout among hospice and palliative care clinicians. J Pain Symptom Manage 2017 May;53(5):901-10.e1. doi: 10.1016/j.jpainsymman.2016.12.337.
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View abstract on the National Library of Medicine site.
Keywords: Provider: Health Personnel, Palliative Care, Workforce
Kamal AH, Bull JH, Wolf SP
Prevalence and predictors of burnout among hospice and palliative care clinicians in the U.S.
The researchers sought to understand the prevalence and predictors of burnout among hospice and palliative care clinicians using a discipline-wide survey. They found that most burnout stemmed from emotional exhaustion, and that factors associated with higher rates of burnout include working in smaller organizations, working longer hours, being younger than 50 years, and working weekends. They concluded that strategies at the discipline-wide and individual levels are needed to sustain the delivery of responsive, available, high-quality palliative care for all patients with serious illness.
AHRQ-funded; HS022989.
Citation: Kamal AH, Bull JH, Wolf SP . Prevalence and predictors of burnout among hospice and palliative care clinicians in the U.S. J Pain Symptom Manage 2016 Apr;51(4):690-6. doi: 10.1016/j.jpainsymman.2015.10.020.
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View abstract on the National Library of Medicine site.
Keywords: Provider: Health Personnel, Palliative Care, Stress, Workforce

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