Some Sitkans are concerned that both the expense and quality of end-of-life care will change dramatically.
Cindy Litman holds a photo of her late husband Tony. Litman says home healthcare was incredibly important to their family as they navigated Tony’s advancing Parkinson’s Disease. The Southeast Alaska Regional Health Consortium is closing its home health department in Sitka at the end of September.
They decided to move to Olympia, Washington, to be near family and easier access to the specialized care Tony needed. And while they had better access to neurologists and cardiologists, Litman says the experience taught her how fragmented healthcare in America is. “From an allocation of resources standpoint, there’s not a lot of duplication, because there’s one plan of care, and everybody works together on that,” Rivas says. “The communication is pretty tight, we’re supposed to meet and discuss the patients as a whole, looking at their long term plan, chronic disease processes, build relationships, encourage better health habits.”
“There’s some types of care that people need in a home environment that don’t qualify under that type of program. And then there’s other kinds of care that we’ve been providing,” Bruhl says. “There’s been a lot of issues that we’ve been struggling with, and we’ve decided that we’re going to close that entity, that structure, but that doesn’t mean that we’re going to stop caring for patients, or that we somehow can’t provide care to patients.
“We also provide really intensive types of end of life care in the hospital,” Bruhl says. “And I think we’re anticipating that we may, at times, project that care also into our long-term care facility when we need to. So our intention is not to abandon that care, abandon patients or leave patients who need that type of care without access to those services, it’s just we’re not going to provide it through this department.
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