| Hospice access for individuals with dementia. | |
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MedLine Citation:
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PMID: 19812416 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Involvement in a hospice program is important because it may allow individuals with dementia to delay or prevent institutionalization as well as provide psychosocial support for their families. Once used mostly by patients with a terminal cancer, now more than one half of the hospice patients have diagnoses other than cancer. Yet hospice is still underused for individuals dying with advanced dementia. We conducted a pilot study of hospice agencies to determine barriers and characteristics of dementia hospice enrollment. Using a mailed questionnaire and interview, we looked at demographics, accessibility, training, referral sources, and marketing. Our analysis divided the agencies based on dementia census and availability to non-Medicare eligible individuals. Results showed hospices having Bridge and Transition programs had on average 4 times higher Alzheimer's disease (AD) and dementia census than hospices without these programs. The highest rated barriers to hospice use for individuals with dementia were prognosis, education, and finance. |
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Authors:
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Catherine Elizabeth McCarty; Ladislav Volicer |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-10-07 |
Journal Detail:
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Title: American journal of Alzheimer's disease and other dementias Volume: 24 ISSN: 1938-2731 ISO Abbreviation: Am J Alzheimers Dis Other Demen Publication Date: 2009 Dec-2010 Jan |
Date Detail:
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Created Date: 2009-11-20 Completed Date: 2010-02-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101082834 Medline TA: Am J Alzheimers Dis Other Demen Country: United States |
Other Details:
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Languages: eng Pagination: 476-85 Citation Subset: IM |
Affiliation:
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School of Aging Studies, University of South Florida, Tampa, Florida 33620, USA. cmccarty@cas.usf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Alzheimer Disease / economics, therapy* Continuity of Patient Care / economics, organization & administration* Health Care Costs Health Care Surveys Health Services Accessibility / economics, standards* Hospices / economics, organization & administration*, utilization* Humans Interinstitutional Relations Medicare / statistics & numerical data Palliative Care / economics, organization & administration, utilization Pilot Projects Prognosis Questionnaires Referral and Consultation / statistics & numerical data United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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