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Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000.

Publication ,  Journal Article
Taylor, DH; Steinhauser, K; Tulsky, JA; Rattliff, J; Van Houtven, CH
Published in: Am J Hosp Palliat Care
2008

The aim of this study is to identify the prevalence and correlates of individuals discharged alive from hospice in the Medicare program to determine whether the current hospice benefit matches the needs of dying patients. Using a nationally representative sample of age-eligible Medicare beneficiaries who died from 1993 to 2000, the use of hospice and other Medicare-financed care was analyzed during the last year of life for different groups of hospice users. It was found that 84.5% (n = 1029) of hospice users initiate and use it continuously until death; 15.5% of hospice users are discharged alive, with some later reinitiating hospice. The main difference between continuous hospice users and those discharged alive is the time survived after initial hospice use (those discharged alive live longer). After controlling for survival time, costs per day survived are similar for all groups. This study suggests several motivations for being discharged alive that are worthy of more research.

Duke Scholars

Published In

Am J Hosp Palliat Care

DOI

ISSN

1049-9091

Publication Date

2008

Volume

25

Issue

1

Start / End Page

9 / 15

Location

United States

Related Subject Headings

  • United States
  • Survival Analysis
  • Patient Discharge
  • Needs Assessment
  • Medicare
  • Male
  • Insurance Benefits
  • Humans
  • Hospices
  • Health Care Costs
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Taylor, D. H., Steinhauser, K., Tulsky, J. A., Rattliff, J., & Van Houtven, C. H. (2008). Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000. Am J Hosp Palliat Care, 25(1), 9–15. https://doi.org/10.1177/1049909107310136
Taylor, Donald H., Karen Steinhauser, James A. Tulsky, John Rattliff, and Courtney Harold Van Houtven. “Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000.Am J Hosp Palliat Care 25, no. 1 (2008): 9–15. https://doi.org/10.1177/1049909107310136.
Taylor DH, Steinhauser K, Tulsky JA, Rattliff J, Van Houtven CH. Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000. Am J Hosp Palliat Care. 2008;25(1):9–15.
Taylor, Donald H., et al. “Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000.Am J Hosp Palliat Care, vol. 25, no. 1, 2008, pp. 9–15. Pubmed, doi:10.1177/1049909107310136.
Taylor DH, Steinhauser K, Tulsky JA, Rattliff J, Van Houtven CH. Characterizing hospice discharge patterns in a nationally representative sample of the elderly, 1993-2000. Am J Hosp Palliat Care. 2008;25(1):9–15.
Journal cover image

Published In

Am J Hosp Palliat Care

DOI

ISSN

1049-9091

Publication Date

2008

Volume

25

Issue

1

Start / End Page

9 / 15

Location

United States

Related Subject Headings

  • United States
  • Survival Analysis
  • Patient Discharge
  • Needs Assessment
  • Medicare
  • Male
  • Insurance Benefits
  • Humans
  • Hospices
  • Health Care Costs