The Medicare Hospice Benefit's Influence on Dying in Nursing Homes

Journal of Palliative Medicine

Volumn 1, Issue 4, 1998, Pages 367-376

  Miller, Susan C ^a   Mor, Vince ^a   Coppola, Kristen ^a   Teno, Joan ^a   Laliberte, Linda ^a   Petrisek, Ann C ^a  

^a BROWN UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 85007650467     PISSN: 10966218     EISSN: 15577740     Source Type: Journal    
DOI: 10.1089/jpm.1998.1.367     Document Type: Article

References (31)

1. National Center for Health Statistics: Monthly vital statistics report. 45(3), September 30, 1996.
2. Brock DB, Foley DJ: Demography and epidemiology of dying in the U.S. with emphasis on deaths of older persons. Hospice J 1998; 13: 49–60.
3. Keay TJ, Fredman L, Taler GA, Datta S, Levenson SA: Indicators of quality medical care for the terminally ill in nursing homes. J Am Geriatr Soc 1994; 42: 853–860.
4. Rutman D: Palliative care needs of residents, families, and staff in long-term care facilities. J Palliative Care 1992; 8: 23–29.
5. OBRA (Omnibus Budget Reconciliation Act): U.S. Congress Public Law 101-239, 1989.
6. SUPPORT Principal Investigators: A controlled trial to improve care for seriously ill Hospitalized patients: the study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 1995; 274: 1591–1598.
7. Bernabei R, Gambassi G, Lapane KL, et al.: Management of pain in patients with cancer. JAMA 1998; 279: 1877–1882.
8. Ferrell BA: Pain evaluation and management in the nursing home. Ann Intern Med 1995; 123: 681–687.
9. Wagner AM, Baker M, Campbell B, et al: Pain prevalence and pain treatments for residents in Oregon's long-term care facilities. Prepared for the state of Oregon Senior Disabled Services Division, client care monitoring unit, 1996.
10. Sengstaken EA, King SA: The problems of pain and its detection among geriatric nursing home residents. J Am Geriat Soc 1993; 41: 541–544.
11. Hanson LC, Danis M, Garrett J: What is wrong with end-of-life care? Opinions of bereaved family members. J Am Geriatr 1997; 45: 1339–1344.
12. AHCPR: Cancer pain. Clinical management panel. Management of cancer pain. Clinical practice guideline no. 9. Publication no. 940592. Rockville, MD: U.S. Department of Health and Human Services Public Health Service, 1994.
13. Lohr KN (ed), Institute of Medicine: Medicare: a strategy for quality assurance. Washington, DC: National Academy Press, 1990.
14. U.S. Department of Health and Human Services: Hospice patients in nursing homes. DHHS Publication No. OEI-05-95-00250. June Gibbs Brown, Inspector General, September 1997.
15. Banaszak-Holl J, Mor V: Hospice report: the impact of changing Medicare coverage on hospice beneficiaries. Report prepared in connection with HCFA contract no. 500-89-0063 to Abt Associates, Inc., 1995.
16. Petrisek AC, More V: Hospice in nursing homes: a facility level analysis of the distribution of hospice beneficiaries. Providence, RI: Brown University, Center for Gerontology and Health Care Research (under review, The Gerontologist, 1998).
17. Jones B, Nackerud L, Boyle D: Differential utilization of hospice services in nursing homes. Hospice J 1997; 12: 41–57.
18. Wennberg JE, McAndrew-Cooper M (eds): The Dartmouth atlas of health care in the United States. Chicago: American Hospital Publishing, 1998.
19. Banaszak-Holl J, Mor V: Differences in patient demographics and expenditures among Medicare hospice providers. Hospice J 1996; 11: 1–19.
20. Gordon AK: Deterrents to access and service for Blacks and Hispanics; the Medicare hospice benefit, healthcare utilization, and cultural barriers. Hospice J 1995; 10: 65–83.
21. Christakis NA, Escarce JJ: Survival of Medicare patients after enrollment in hospice programs. N Engl J Med 1996; 335: 172–178.
22. Luchins DJ, Hanrahan P, Murphy K: Criteria for enrolling dementia patients in hospice. J Am Geriatr Soc 1997; 45: 1054–1059.
23. Lynn J, Harrell FE Jr, Cohn F, et al.: Prognoses of seriously ill hospitalized patients on the days before death: implications for patient care and public policy. New Horizons 1997; 5: 56–61.
24. National Hospice Organization: Medical guidelines for determining prognosis in selected noncancer diseases, 2nd ed. Arlington, VA: Author, 1996.
25. U.S. Department of Health and Human Services: Hospice and nursing home contractual relationships. DHHS Publication No. OEI-05-95-00251. June Gibbs Brown, Inspector General, October 1997.
26. Merrill D, Mor V: Pathways to hospital death among the oldest old. J Aging Health 1993; 5: 516.
27. Schaughnessy P, Kramer A: The increased need of patients in nursing homes and patients receiving home health care. N Engl J Med 1989; 322: 21.
28. Kidder D: The effects of hospice coverage on Medicare Expenditures. Health Serv Res 1992; 27: 195–217.
29. Lewin-VHI, Inc.: An analysis of the cost savings of the Medicare hospice benefit. Arlington, VA: The National Hospice Organization, 1995.
30. Mor V, Kidder D: Cost savings in hospice: final results of the National Hospice Study. Health Serv Res 1985; 20: 407–22.
31. Emanuel EJ, Emanuel LL: The economics of dying: the illusion of cost savings at the end of life. N Engl J Med 1994; (special articles) 540–544.