Difference-Making Factors Linked to Higher Reach of Specialist Palliative Care Among People With Heart Failure Across a National Sample of VA Medical Centers

Yan Zhan, Edward J. Miech, Erica A. Abel, Shelli L. Feder, Yale Univeristy School of Nursing, New Haven, Division of General Internal Medicine, Indiana UniversitySchool of Medicine, VA Connecticut Healthcare System, West Haven

American Journal of Hospice and Palliative Medicine®

Published online on November 10, 2025

Abstract

American Journal of Hospice and Palliative Medicine®, Ahead of Print.
BackgroundPalliative Care (SPC) is a guideline-recommended intervention for people with advanced heart failure (aHF). However, there is wide variation in delivery across VA medical centers (VAMCs). This study sought to identify key difference-making ...