The growth of hospice care in U.S. nursing homes.

Journal of the American Geriatrics Society
Susan C MillerVincent Mor

Abstract

To inform efforts aimed at reducing Medicare hospice expenditures by describing the longitudinal use of hospice care in nursing homes (NHs) and examining how hospice provider growth is associated with use. Longitudinal study using NH resident assessment (Minimum Data Set) and Medicare denominator and claims data for 1999 through 2006. NHs in the 50 U.S. states and the District of Columbia. Persons dying in U.S. NHs. Medicare beneficiaries dying in NHs, receipt of NH hospice, and lengths of hospice stay were identified. The number of hospices providing care in NHs was also identified, and a panel data fixed-effect (within) regression analysis was used to examine how growth in providers affected hospice use. Between 1999 and 2006, the number of hospices providing care in NHs rose from 1,850 to 2,768, and rates of NH hospice use more than doubled (from 14% to 33%). With this growth came a doubling of mean lengths of stay (from 46 to 93 days) and a 14% increase in the proportion of NH hospice decedents with noncancer diagnoses (69% in 1999 to 83% in 2006). Controlling for time trends, for every 10 new hospice providers within a state, there was an average state increase of 0.58% (95% confidence interval=0.383-0.782) in NH hospice u...Continue Reading

References

Sep 1, 1995·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·B R FerrellP Coluzzi
Sep 1, 2000·Journal of the American Geriatrics Society·W M Baer, L C Hanson
Nov 14, 2000·JAMA : the Journal of the American Medical Association·J ZerzanL Hanson
Jan 19, 2002·Journal of Palliative Medicine·D E WeissmanS Matson
Apr 12, 2002·Journal of the American Geriatrics Society·Susan C MillerKate Lapane
Oct 31, 2002·Palliative Medicine·S C Miller, V Mor
Jan 29, 2003·Journal of Pain and Symptom Management·Jiska Cohen-Mansfield
Jul 12, 2003·Journal of Palliative Medicine·Timothy J KeayRuth E Eger
Jul 12, 2003·Journal of Palliative Medicine·Howard TuchAnna L Romer
Sep 12, 2003·Journal of Pain and Symptom Management·Susan C MillerJoan Teno
Nov 19, 2003·Journal of Palliative Medicine·Susan C MillerBarrt Kinzbrunner
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Nov 16, 2004·Clinics in Geriatric Medicine·Susan C MillerVincent Mor
Dec 2, 2004·Journal of the American Geriatrics Society·Rosa R BaierJoan M Teno
Jan 28, 2005·Journal of the American Geriatrics Society·Susan L MitchellVincent Mor
Jul 5, 2005·Journal of Palliative Medicine·Laura C HansonC Glenn Pickard
Mar 17, 2007·Health Services Research·Pedro L Gozalo, Susan C Miller
Jul 27, 2007·The New England Journal of Medicine·Gail Gazelle
Jul 27, 2007·The New England Journal of Medicine·Alexi A Wright, Ingrid T Katz
Aug 31, 2007·Journal of the American Geriatrics Society·Laura C HansonSheryl Zimmerman
Jan 24, 2008·Health Services Research·Pedro L GozaloVincent Mor
Jun 26, 2009·The New England Journal of Medicine·John K Iglehart
Oct 16, 2009·The New England Journal of Medicine·Susan L MitchellMary Beth Hamel
Jan 6, 2010·Health Affairs·Haiden A HuskampJoseph P Newhouse
Apr 10, 2010·Journal of Palliative Medicine·Susan C Miller
Aug 20, 2010·Journal of Pain & Palliative Care Pharmacotherapy·UNKNOWN Medicare Payment Advisory Commission U.S. Department Of Health And Human Services

❮ Previous
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Citations

Dec 14, 2011·Journal of Social Work in End-of-life & Palliative Care·Bruce Jennings, Mary Beth Morrissey
Oct 1, 2011·Journal of Palliative Medicine·Denise A TylerSusan C Miller
May 15, 2012·Journal of Palliative Medicine·Robert Y LinBrian C Scanlon
May 4, 2012·Journal of Palliative Medicine·Sarah A ThompsonVirginia P Tilden
Nov 16, 2010·The Gerontologist·Michael J LeporePedro Gozalo
Jan 11, 2012·The Gerontologist·Helena Temkin-GreenerDana B Mukamel
Dec 13, 2012·The Gerontologist·Nan Tracy ZhengHelena Temkin-Greener
Jan 14, 2011·Palliative Medicine·Samantha Sterns, Susan C Miller
Dec 7, 2010·American Journal of Alzheimer's Disease and Other Dementias·Susan C MillerSusan L Mitchell
Sep 10, 2014·Dental Clinics of North America·Chester W Douglass, Monik C Jiménez
Nov 19, 2014·Journal of the American Medical Directors Association·Barbara J Messinger-RapportJohn E Morley
Feb 4, 2016·Journal of Palliative Medicine·Kimberly S JohnsonMaragatha N Kuchibhatla
May 15, 2013·Journal of the American Medical Directors Association·Helena Temkin-GreenerDana B Mukamel
Nov 28, 2012·Journal of the American Medical Directors Association·Kathleen Tschantz UnroeChristopher M Callahan
Apr 1, 2011·Journal of the American Medical Directors Association·Anne-Marie BoströmCarole A Estabrooks
Apr 15, 2014·Health Care Management Review·Bettye A ApentengSamuel T Opoku
Feb 25, 2015·Research in Gerontological Nursing·Ji Won YooAriba Khan
Jun 15, 2011·Journal of Gerontological Nursing·Karen S FeldtJanine Clymin
Sep 26, 2015·Journal of Music Therapy·Xiaodi LiuKathleen T Unroe
Jul 17, 2013·Journal of the American Geriatrics Society·Kathleen T Unroe, Diane E Meier
Jun 19, 2013·Journal of the American Geriatrics Society·Qinghua LiHelena Temkin-Greener
Jul 15, 2015·Journal of Aging & Social Policy·Cara L Wallace
Apr 10, 2016·Journal of the American Geriatrics Society·Kathleen T UnroeChristopher M Callahan
Aug 20, 2015·The New England Journal of Medicine·Amy S Kelley, R Sean Morrison
Mar 17, 2015·Journal of Palliative Medicine·Susan C MillerSarah A Thompson
May 7, 2015·The New England Journal of Medicine·Mary Beth Hamel
May 7, 2015·The New England Journal of Medicine·Pedro GozaloJoan M Teno
Sep 23, 2014·Journal of the American Medical Directors Association·Kathleen T UnroeSusan C Miller
Jul 16, 2014·Journal of the American Medical Directors Association·Debra Parker OliverGeorge Demiris
Nov 7, 2014·Journal of General Internal Medicine·Kathleen T UnroeChristopher M Callahan
Aug 17, 2016·Journal of Palliative Medicine·Helena Temkin-GreenerDana B Mukamel
Aug 19, 2016·Journal of the American Geriatrics Society·Stephanie L JarosekBeth A Virnig
Oct 25, 2016·Journal of Pain and Symptom Management·Susan C MillerLaura C Hanson
Sep 10, 2011·Medical Care Research and Review : MCRR·Haiden A HuskampDavid G Stevenson
Jan 4, 2017·Journal of Pain and Symptom Management·Jacob N HunnicuttKate L Lapane
Mar 16, 2017·Journal of the American Geriatrics Society·Kathleen T UnroeChristopher M Callahan
Apr 13, 2012·American Journal of Alzheimer's Disease and Other Dementias·Judith BentkoverVincent Mor
Feb 11, 2018·Journal of the American Geriatrics Society·Kathleen T UnroeChristopher M Callahan
Nov 26, 2014·The American Journal of Hospice & Palliative Care·L Ashley GageGeorge Demiris
Feb 29, 2016·The American Journal of Hospice & Palliative Care·Micah T ProchaskaFarr A Curlin
Mar 31, 2016·The American Journal of Hospice & Palliative Care·Merle R Kataoka-YahiroDongmei Li
Nov 15, 2014·The American Journal of Hospice & Palliative Care·Paula E LesterMartin Feuerman
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
Nov 2, 2019·Journal of the American Geriatrics Society·Denise D QuigleyPatricia W Stone
Mar 21, 2017·The Oncologist·Shalini Dalal, Eduardo Bruera

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