Statewide and Regional Variation in Hospice and Palliative Care Protocols in Emergency Medical Services in the United States

Across the U.S., HPC protocols remain inconsistently integrated into EMS systems. Fewer than one in four reviewed protocols included any HPC-specific guidance, and most lacked comprehensive components recommended by national guidelines. Broader adoption of HPC protocols and alignment with expert recommendations may improve the delivery of compassionate, goal-concordant care to a growing population of seriously ill patients in the out-of-hospital setting.

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Publication Details

Journal
Prehospital Emergency Care
Published
2025-11-21
DOI
https://doi.org/10.1080/10903127.2025.2589960
Primary Topic
Palliative Care and End-of-Life Issues
Type
article
Field-Weighted Citation Impact
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article

Statewide and Regional Variation in Hospice and Palliative Care Protocols in Emergency Medical Services in the United States

Amelia Breyre, David H. Yang, Satheesh Gunaga, Kenneth Hanson et al.
Prehospital Emergency Care
Palliative Care and End-of-Life Issues
article

Statewide and Regional Variation in Hospice and Palliative Care Protocols in Emergency Medical Services in the United States

Amelia Breyre, David H. Yang, Satheesh Gunaga, Kenneth Hanson, E. Jane Merkle-Scotland, Sameer Jagani
article en

Abstract

Across the U.S., HPC protocols remain inconsistently integrated into EMS systems. Fewer than one in four reviewed protocols included any HPC-specific guidance, and most lacked comprehensive components recommended by national guidelines. Broader adoption of HPC protocols and alignment with expert recommendations may improve the delivery of compassionate, goal-concordant care to a growing population of seriously ill patients in the out-of-hospital setting.

Prehospital Emergency Care
Philadelphia College of Osteopathic Medicine (US), Central Michigan University (US), University of California, San Francisco (US), Montana State University (US), Henry Ford Hospital (US), Yale University (US), Provision Healthcare (US), Michigan State University (US)
Openalex Percentile: Top 54%
Palliative Care and End-of-Life Issues
DOISourceOpenAlex
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Statewide and Regional Variation in Hospice and Palliative Care Protocols in Emergency Medical Services in the United States — Amelia Breyre, David H. Yang, et al. · Prehospital Emergency Care (2025) | TGRS Research Map | TGRS