Rural hospice care, as it is currently configured, is
under pressure by a variety of factors (e.g., policy and
regulation, economic and financial, and organizational
and structural) which are reviewed in this document.
However, a central core element of rural hospice remains
the strong sense of community that is embodied in the
system (i.e., typically a small non-profit arrangement)
and design (i.e., a delivery system reliant on community
connections and personal relationships) of care. This
policy brief is the result of a national phone survey of
rural hospice directors or key staff in 47 states.
Fifty-three directors or key staff members were
interviewed during a three-month period in 2013.