National Trends In Adult Hospice Use: 1991–1992 To 1999–2000

Abstract

This study examines hospice use among adult hospice patients based on the

End-of-Life Care in U.S. Nursing Homes: Nursing Homes with Special Programs and Trained Staff for Hospice or Palliative/End-of-Life Care

“…28,29 Furthermore, cognitive impairments and behavioral problems are common among nursing home residents aged 85 or older and are not just confined to nursing home residents with dementia diagnoses. 30,31 Therefore, pain management and behavior management of dying residents are critical components of hospice or palliative/end-of-life care in nursing homes, and skill in this care (as reflected by SPTS for dementia and behavioral symptoms) may precede SPTS for hospice and/or palliative/end-of-life care. Also, our finding that nursing homes with SPTS for mental health services have a 1.6 greater likelihood of having SPTS for hospice and/or palliative/end-of-life care likely indicates a facility's focus on reducing unmet mental health treatment needs and its ability to facilitate the integration of mental health clinicians into the care team-a prerequisite for SPTS in hospice and palliative/end-of-life care.…”

“…Several studies report the number of nursing home hospice patients has increased over time. 4,18,30,42 However, because of geographic variability in hospice access and barriers to individual access, including the 6-month prognosis requirement and the inability of Medicare skilled nursing home residents (receiving care for their terminal condition) to simultaneously access hospice, nursing home efforts to develop specialized programs and specially trained staff devoted to hospice and/or palliative/end-of-life care are essential. Our results suggest that incremental steps in advancing the quality of nursing home care (through other special care units, collaboration with hospices, and/or through pain management programs) provide nursing homes with the opportunity needed to develop the practices and skills essential for implementing their own specialized programs.…”

The impact of hospice care on survival and cost saving among patients with liver cancer: a national longitudinal population-based study in Taiwan

“…Still the overall use of either hospital-and homebased hospice services in Taiwan by those during their last year of life has only gradually increased for over the last 20 years, and it remains underutilized at 7.34 % in 2000 and 16.83 % in 2006 [1]. This underutilization has also been reported in the USA [2].…”

A study of the effects of innovative and efficient practices on the performance of hospice care organizations

“…In 1975, hospices in the United States admitted approximately 1,000 patients. By 2000, this number had increased to 700,000 (Han et al, 2006).…”

“…The hospice concept began in the 1960s and was introduced into the United States in 1978, and Medicare began providing hospice benefits in 1982 (Han et al, 2006). Most studies on hospice care have focused on clinical issues.…”