Background and objectives: Ambulatory (outpatient) healthcare organizations continue to respond to the COVID-19 global pandemic using an array of initiatives to sustain a continuity of palliative care. Continuance of palliative care during major crises has been previously accomplished; however, the global pandemic presents new challenges to the US healthcare industry. Materials and methods: This systematic review queried four research databases to identify applicable studies related to the provision of palliative care during the pandemic in outpatient organizations within the United States. Results: There are two primary facilitators for the ongoing provision of palliative care for the outpatient segment of the United States healthcare industry: technology and advanced care planning. Researchers also identified two primary barriers in the outpatient setting impacting the continuance of palliative care: lack of resources and accessibility to care. Conclusions: This systematic review identified facilitators and barriers for palliative care initiatives in the United States that can further assist future outpatient (ambulatory care) providers at a global level as the pandemic and associated public health initiatives continue.
【저자키워드】 COVID-19, pandemic, Palliative care, Ambulatory care, Outpatient Care, hospice care, 【초록키워드】 public health, systematic review, database, organization, global pandemic, healthcare, Research, resource, ambulatory, Care, material, facilitator, The United States, identify, lack, the United State, respond, assist, 【제목키워드】 review, organization, ambulatory, palliative, the United State,