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

Journal of Palliative Medicine
Susan C Miller, Beth Han

Abstract

The degree to which nursing homes have internal programs for hospice and palliative care is unknown. We used self-reported data from the 2004 National Nursing Home Survey (NNHS) to estimate the prevalence of special programs and (specially) trained staff (SPTS) for hospice or palliative/end-of-life care in U.S. nursing homes. Factors associated with the presence of SPTS for hospice or palliative/end-of-life care were identified. We merged 2004 NNHS data for 1174 nursing homes to county-level data from the 2004 Area Resource File and to Nursing Home 2004 Online Survey, Certification, and Reporting data. chi(2) tests and logistic regression models were applied. Twenty-seven percent of U.S. nursing homes reported (internal) SPTS for hospice or palliative/end-of-life care. After controlling for covariates, we found nonprofit status, being in the southern region of the United States, having an administrator certified by the American College of Health Care Administrators, contracting with an outside hospice provider, and having other specialty programs to be associated with a greater likelihood of nursing homes having SPTS for hospice or palliative/end-of-life care. The largest effects were observed for nursing homes with programs fo...Continue Reading

References

Jul 1, 1993·The American Journal of Psychiatry·P N TariotA Leibovici
May 1, 1993·Journal of the American Geriatrics Society·E A Sengstaken, S A King
Nov 1, 1995·Journal of Pain and Symptom Management·B A FerrellL Rivera
Nov 15, 1997·Journal of the American Geriatrics Society·L C HansonJ Garrett
Dec 9, 1992·Home Health Care Services Quarterly·H Schmid
May 31, 2001·Journal of the American Geriatrics Society·S BedfordJ Guralnik
Jul 13, 2001·The American Journal of Medicine·S C MillerV Mor
Oct 5, 2001·Health Affairs·H A HuskampJ P Newhouse
Apr 12, 2002·Journal of the American Geriatrics Society·Susan C MillerKate Lapane
May 3, 2002·Health Care Management Review·Nicholas G Castle, Barry S Fogel
Jul 12, 2002·Journal of the American Geriatrics Society·Jiska Cohen-Mansfield, Steven Lipson
Sep 12, 2003·Journal of Pain and Symptom Management·Susan C MillerJoan Teno
Dec 14, 2004·Journal of Pain and Symptom Management·Susan C Miller, Vincent Mor
Jan 28, 2005·Journal of the American Geriatrics Society·Susan L MitchellVincent Mor
Jul 5, 2005·Journal of Palliative Medicine·Sarah Forbes-Thompson, Charles E Gessert
Dec 6, 2005·The Gerontologist·Nancy A MillerCharlene Harrington
Dec 15, 2005·Journal of Palliative Medicine·Laura C HansonMonica Slubicki
Feb 10, 2006·JAMA : the Journal of the American Medical Association·Laura C Hanson, Mary Ersek
May 11, 2006·Health Affairs·Beth HanShirley S Travis
Jun 26, 2007·Journal of Pain and Symptom Management·Stephen R ConnorNicholas A Christakis
Nov 8, 2007·Journal of Palliative Medicine·Charles F von Gunten
Jan 9, 2008·Journal of the American Geriatrics Society·Andrea GruneirVincent Mor

❮ Previous
Next ❯

Citations

Jul 10, 2009·Journal of Palliative Medicine·Deborah P Waldrop, Abbie M Kirkendall
Apr 10, 2010·Journal of Palliative Medicine·Susan C Miller
Apr 19, 2011·Journal of Palliative Medicine·Bridget MarshallSimon Allan
Jul 31, 2013·Journal of Palliative Medicine·Maureen E CanavanElizabeth H Bradley
Aug 30, 2013·Journal of Palliative Medicine·Mary Ersek, Joan G Carpenter
Nov 17, 2010·The Gerontologist·Denise A TylerMelissa A Clark
Dec 13, 2012·The Gerontologist·Nan Tracy ZhengHelena Temkin-Greener
Sep 11, 2012·Journal of the American Medical Directors Association·Kathryn A FrahmKathryn Hyer
Aug 28, 2010·Journal of Pain and Symptom Management·Sarah ThompsonVirginia P Tilden
Sep 25, 2012·Journal of Gerontological Nursing·Aida WenKamal Masaki
May 16, 2009·Research in Nursing & Health·Jennifer G DuncanByron J Gajewski
Sep 18, 2015·Current Gerontology and Geriatrics Research·Caroline StephensChristine Ritchie
Sep 10, 2011·Medical Care Research and Review : MCRR·Haiden A HuskampDavid G Stevenson
Nov 12, 2013·The American Journal of Hospice & Palliative Care·Kathryn A FrahmKathryn Hyer
Oct 15, 2011·The American Journal of Hospice & Palliative Care·Jean Correll Munn
Apr 16, 2009·The American Journal of Hospice & Palliative Care·Helaine E ResnickSusan E Hickman
Oct 31, 2013·The Health Care Manager·Jullet A Davis
Jul 16, 2020·The American Journal of Nursing·Nhat BuiCaroline Stephens
Aug 14, 2019·Journal of the American Geriatrics Society·Lara DhingraRussell Portenoy
Jul 22, 2016·Nursing·Faith Steves, Tommy Williams

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.