| The role of hospice care in the nursing home setting. | |
| | |
MedLine Citation:
|
PMID: 12006229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The last days of life for a substantial proportion of dying older adults are spent in nursing homes. Considering this, the provision of Medicare hospice care in nursing homes would appear to be an equitable use of Medicare expenditures as well as a valid investment in improving the quality of life for dying nursing home residents. However, government concerns regarding possible abuse of the hospice benefit in nursing homes, as well as suggestion that the payment for the benefit in nursing homes may be excessive, has perhaps slowed the adoption of hospice services into the nursing home setting. Currently, access to hospice care in nursing homes is inequitable across facilities, and across geographic areas. In nursing homes where hospice is available and present, however, recent research documents superior outcomes for residents enrolled in hospice, and perhaps for nonhospice residents. Still, more research is needed, particularly research focusing on the government costs associated with the provision of hospice care in nursing homes. If subsequent research continues to support the "added value" of hospice care in nursing homes and at the same or less total costs, the issue of foremost concern becomes how equitable access to Medicare hospice care in nursing homes can be achieved. Access may be increased to some extent by changing government policies, and conflicting regulations and interpretive guidelines, so they support and encourage the nursing home/hospice collaboration. |
| | |
Authors:
|
Susan C Miller; Vince N T Mor |
Related Documents
:
|
10539579 - Physicians' capability in home health practice: home health nurses' perceptions. 14534459 - Magnet home care agencies: a professional way to impact quality and retention. 8736469 - The family metaphor applied to nursing home life. 15571539 - Patterns of utilization for the minnesota senior health options program. 16492639 - Does quality pay for nursing homes? 20048359 - Diversion, transition programs target nursing homes' status quo. 11760329 - Transcribing in triage: the wrexham experience. 21853719 - Back to school: what i learned teaching cross-culturally. 22320159 - Friends of nursing: a community of caring to promote excellence in nursing practice, ed... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
|
Title: Journal of palliative medicine Volume: 5 ISSN: 1096-6218 ISO Abbreviation: J Palliat Med Publication Date: 2002 Apr |
Date Detail:
|
Created Date: 2002-05-13 Completed Date: 2002-06-06 Revised Date: 2013-05-16 |
Medline Journal Info:
|
Nlm Unique ID: 9808462 Medline TA: J Palliat Med Country: United States |
Other Details:
|
Languages: eng Pagination: 271-7 Citation Subset: IM |
Affiliation:
|
Center for Gerontology & Health Care Research, Department of Community Health, Brown University School of Medicine, 141 Morris Avenue, Providence, RI 02912, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Hospice Care / economics*, trends Humans Medicare / economics Nursing Homes / economics*, statistics & numerical data Quality of Health Care* United States |
| Grant Support | |
ID/Acronym/Agency:
|
AG 11624-06S1/AG/NIA NIH HHS; HS 10549/HS/AHRQ HHS; R00 NR010495/NR/NINR NIH HHS; R00 NR010495-04/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Systems of care: future reform.
Next Document: Changing end-of-life planning: the Oregon experience.