Hospice Home Care Cost Savings to Third-Party Insurers

Brooks, Charles H.; Smyth-Staruch, Kathleen

doi:10.1097/00005650-198408000-00002

Cited by 61 publications

(12 citation statements)

References 4 publications

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“…It can be delivered in a patient's home, allowing death to take place at home, 1,2 and it may optimize the relief of pain, 3 increase patients' satisfaction, [4][5][6] and increase cost ef-T fectiveness. [7][8][9][10][11][12] Partly in anticipation of such advantages, Medicare began covering hospice care for its beneficiaries in 1982. 13,14 A Medicare beneficiary with a terminal illness who elects hospice care receives noncurative medical and support services, many of which would not otherwise be covered.…”

Section: Resultsmentioning

confidence: 99%

Survival of Medicare Patients after Enrollment in Hospice Programs

Christakis

Escarce²

1996

N Engl J Med

507

301

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Section: Resultsmentioning

confidence: 99%

Survival of Medicare Patients after Enrollment in Hospice Programs

Christakis

Escarce²

1996

N Engl J Med

507

301

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“…[15][16][17][18][19][20] The adequate utilization of hospice services requires timely referral of terminally ill patients to hospice programs. 21,22 Hospice care remains underutilized and patients are often referred to hospice very late in the course of their disease.…”

Section: Discussionmentioning

confidence: 99%

Impact of Combined Hospice Care on Terminal Cancer Patients

Loke

Rau

Huang

2011

Journal of Palliative Medicine

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Background: Many patients with advanced cancer will develop physical and psychological symptoms related to their disease. These symptoms are infrequently treated by conventional care. Palliative care programs have been developed to fill this gap in care. However, there are limited beds in hospice units. To allow more terminal cancer patients to receive care from a hospice team, a combined hospice care system was recently developed in Taiwan. This study is a report of our experiences with this system. Patients and Methods: From January to December 2009, terminal cancer patients who accepted consultation from a hospice team for combined hospice care were enrolled in the study. Demographic data, clinical symptoms, referring department, type of cancer, and outcome were analyzed. Results: A total of 354 terminal cancer patients in acute wards were referred to a hospice consulting team. The mean patient age was 61 years, and the proportion of males was 63.28%. After combined hospice care, there was a significant improvement in the sign rate of do-not-resuscitate (DNR) orders from 41.53% to 71.47% ( p < 0.0001), and awareness of disease prognosis from 46.05% to 57.69% ( p ¼ 0.0006). Combined hospice care also enabled 64.21% of terminal cancer patients who were not transferred to hospice ward to receive combined care by a hospice consulting team while in acute wards, thus increasing the hospice utilization of terminal cancer patients. The major symptoms presented by the patients were pain (58%), dyspnea (52%), constipation (45%), and fatigue (23%). Conclusions: Through the hospice consulting system, hospice combined care has a positive effect on the utilization of hospice care, rate of DNR signing and quality of end-of-life care for terminal cancer patients.

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“…7 Hospice care is also a covered benefit under most private insurance plans, managed care organizations, and state Medicaid programs. 8 Hospice care has received widespread approval 9,10 and is increasing in popularity; in the last 5 years, annual growth in the number of patients receiving hospice care nationwide has averaged 16%. 8 The few studies comparing hospice with other care at the end of life suggest that (1) patients 11 and families are satisfied with hospice care, (2) patients have fewer regrets than nonhospice patients, and (3) patients receiving hospice care are more likely to die in a way that is consistent with their wishes.…”

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confidence: 99%