Sean Morrison
speaker
515 appearances
4 recordings
1 series
first heard Apr 2017
last heard Mar 2022
Sean Morrison’s voice in public audio — every appearance, attributed to the second.
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Oh, I agree completely, Eric.
And I think one of the things we've seen is exactly as you've pointed out, is that we've seen really a tremendous growth in the number of advanced practice nurses that are in the field.
We've also seen a growth in
you know, an accompanying growth in terms of the number of physicians.
But where we, as you said, we still have a lot of room for improvement is both in social work and in chaplaincy.
And it's perhaps not surprising that those are the two disciplines where they can't bill for their services.
And I think a large part of the lack of growth in those two areas is because of finances.
Are there ways that we could address that?
I think there are a number of ways that are addressing that.
First of all, I think the National Consensus Project has pretty clearly stated that palliative care needs to be delivered by an interdisciplinary team that encompasses those four core disciplines, medicine, nursing, social work, and chaplaincy.
that certainly not all patients need all of those team members, but all of those team members need to be available.
I think the moving that sort of idealistic consensus-driven document into actual practice is going to require things like accreditation.
The Joint Commission now, in terms of their advanced certification program, you can't have a palliative care team unless you have those four components to be certified by the Joint Commission.
that's, A, a step that we need to move forward with, that we need new palliative care from accreditation to certification.
The other piece that I think will help drive this is research.
What clearly has helped promote the growth of palliative care in this country has been research that has demonstrated that it contributes to value, that it improves both patient quality of life
and family well-being at the same time doing so in a cost-effective manner.
And I think when we look at particularly spirituality, there is increasing evidence of the importance of spirituality to seriously ill patients and their families.
there are beginning to be data about the impact of poorly addressed spiritual distress in that population, both on patient and on family well-being, and indeed some small data on its effects on increasing health care costs.
So I think that we really do need
Showing 421–440 of 515 · page 22 of 26
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