End-of-life care intensity and hospice use

Medical Care

Volumn 54, Issue 7, 2016, Pages 672-678

  Wang, Shi Yi ^a,b   Aldridge, Melissa D ^c,d   Gross, Cary P ^b   Canavan, Maureen ^a   Cherlin, Emily ^a   Johnson Hurzeler, Rosemary ^e   Bradley, Elizabeth ^a  

^a YALE UNIVERSITY   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e Branford ^*  (United States)

Author keywords

end of life care; geographic variation; health services research; Medicare hospice benefit

Indexed keywords

AGED; ARTICLE; CHRONIC LUNG DISEASE; CLINICAL ASSESSMENT; CONFIDENCE INTERVAL; CONTROLLED STUDY; DIABETES MELLITUS; EMERGENCY WARD; FEMALE; HEALTH SERVICES RESEARCH; HEART DISEASE; HOSPICE CARE; HOSPICE PATIENT; HOSPITAL; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICARE; ODDS RATIO; PATIENT REFERRAL; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SAMPLE SIZE; STATISTICAL MODEL; TERMINAL CARE; VERY ELDERLY; CLINICAL PRACTICE; PROCEDURES; UNITED STATES; UTILIZATION;

AGED; AGED, 80 AND OVER; FEMALE; HEALTH SERVICES RESEARCH; HOSPICE CARE; HUMANS; MALE; MEDICARE; PRACTICE PATTERNS, PHYSICIANS'; TERMINAL CARE; UNITED STATES;

EID: 84964194604     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0000000000000547     Document Type: Article

References (23)

1. Lubitz JD, Riley GF. Trends in Medicare payments in the last year of life. N Engl J Med. 1993; 328: 1092-1096.
2. Riley GF, Lubitz JD. Long-Term trends in Medicare payments in the last year of life. Health Serv Res. 2010; 45: 565-576.
3. Hoover DR, Crystal S, Kumar R, et al. Medical expenditures during the last year of life: findings from the 1992-1996 Medicare current beneficiary survey. Health Serv Res. 2002; 37: 1625-1642.
4. Scitovsky AA. The high cost of dying: what do the data show?. Milbank Q. 2005; 83: 825-841.
5. Wright AA, Zhang B, Ray A, et al. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008; 300: 1665-1673.
6. Steinhauser KE, Clipp EC, McNeilly M, et al. In search of a good death: observations of patients, families, and providers. Ann Int Med. 2000; 132: 825-832.
7. Barnato AE, Herndon MB, Anthony DL, et al. Are regional variations in end-of-life care intensity explained by patient preferences? A study of the US Medicare population. Med Care. 2007; 45: 386-393.
8. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Int Med. 2003; 138: 273-287.
9. National Hospice and Palliative Care Organization. While Number of Patients Receiving Hospice Care Increases, Larger Percentage Have Short Length of Service (News Release). Alexandria, VA: National Hospice and Palliative Care Organization; 2012. Available at http://www.nhpco.org/.press-room/press-releases/hospice-facts-figures. Accessed October 27, 2014.
10. Aldridge MD, Canavan M, Cherlin E, et al. Has hospice use changed?. 2000-2010 utilization patterns. Med Care. 2015; 53: 95-101.
11. Teno JM, Gozalo PL, Bynum JP, et al. Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009. JAMA. 2013; 309: 470-477.
12. Wright AA, Hatfield LA, Earle CC, et al. End-of-life care for older patients with ovarian cancer is intensive despite high rates of hospice use. JCO. 2014; 32: 3534-3539.
13. Teno JM, Gozalo PL. Quality and costs of end-of-life care: the need for transparency and accountability. JAMA. 2014; 312: 1868-1869.
14. American Society of Clinical Oncology. Summary of current QOPI measures. Available at http://www.asco.org/institute-quality/summarycurrent-qopi-measures. Accessed August 25, 2015.
15. Rickerson E, Harrold J, Kapo J, et al. Timing of hospice referral and families perceptions of services: are earlier hospice referrals better?. J Am Geriatr Soc. 2005; 53: 819-823.
16. Bradley EH, Prigerson H, Carlson MD, et al. Depression among surviving caregivers: does length of hospice enrollment matter?. Am J Psychiatry. 2004; 161: 2257-2262.
17. The Dartmouth Institute for Health Policy and Clinical Practice. Hospital Care Intensity - Dartmouth Atlas of Health Care. Available at www.dartmouthatlas.org/tools/care.aspx. Accessed May 23, 2015.
18. Blecker S, Anderson GF, Herbert R, et al. Hospice care and resource utilization in Medicare beneficiaries with heart failure. Med Care. 2011; 49: 985-991.
19. Wennberg JE, Fisher ES, Stukel TA, et al. Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States. BMJ. 2004; 328: 607-610.
20. Wang SY, Aldridge MD, Canavan M, et al. Geographic variation of hospice use patterns at the end of life. J Palliat Med. 2015; 18: 771-780.
21. Morden NE, Chang CH, Jacobson JO, et al. End-of-life care for Medicare beneficiaries with cancer is highly intensive overall and varies widely. Health Aff (Millwood). 2012; 31: 786-796.
22. Barnato AE, Farrell MH, Chang CC, et al. Development and validation of hospital end-of-life treatment intensity measures. Med Care. 2009; 47: 1098-1105.
23. Gozalo P, Plotzke M, Mor V, et al. Changes in Medicare costs with the growth of hospice care in nursing homes. N Engl J Med. 2015; 372: 1823-1831.