Expanded insurance benefits break down barriers to hospice care, according to new studySeptember 01, 2009Patients with advanced illnesses more than doubled their use of hospice care when a major national health plan made hospice care more readily accessible, according to the results of a comparative study published in Journal of Palliative Medicine, a peer-reviewed publication from Mary Ann Liebert, Inc.(www.liebertpub.com). Journal of Palliative Medicine is the official journal of the Center to Advance Palliative Care (CAPC) and an official journal of the Hospice and Palliative Nurses Association (HPNA). The article is available free online at www.liebertpub.com/jpm In contrast with many insurers that limit access to hospice care, national healthcare insurer Aetna (Hartford, CT) studied a trial of expanded insurance benefits for hospice care and added nurse case managers who provided information to patients and their families. The result was a dramatic increase in both overall hospice use and the mean number of days in hospice care. This study must be evaluated in the light of compelling research data over the past decade that shows hospice care provides better care than standard care for patients near the end of life. The percent of patients referred for hospice care and the number of days in hospice care are nationally accepted measures of quality health care. Claire M. Spettell from Aetna and colleagues conclude that more liberal hospice insurance benefits and the addition of comprehensive case management to a health plan can help lead to better health care for patients with advanced illnesses. The authors document about a 70% increase in hospice use in the article entitled, "A Comprehensive Case Management Program to Improve Palliative Care." "The scientific data has been clear for many years; hospice care for the last months of life is the best care during that period. It's delightful that national health insurers are investigating how to translate that science into better care for those they insure," says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine, and Provost, Institute for Palliative Medicine at San Diego Hospice. Mary Ann Liebert, Inc./Genetic Engineering News |
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| Related Hospice Care Current Events and Hospice Care News Articles Dying from dementia A growing number of older adults are dying from dementia. In an editorial in the October 15, 2009 issue of the New England Journal of Medicine, Greg Sachs, M.D., professor of medicine and director of the Division of General Internal Medicine and Geriatrics at the Indiana University School of Medicine and a Regenstrief Institute investigator, notes that end-of-life care for most older adults with dementia has not changed in decades and urges that these individuals be provided far greater access to palliative care, the management of pain and other symptoms. Study finds race and ethnicity affect use of hospice services among patients with advanced cancer Race and ethnicity appear to have an effect on whether a patient with terminal cancer uses hospice care services, according to a study led by researchers at Beth Israel Deaconess Medical Center (BIDMC). NIH report finds costs of digestive diseases has grown to more than $141 billion a year Digestive, liver and pancreatic diseases result in more than 100 million outpatient visits and 13 million hospitalizations annually at a cost of $141.8 billion. Brown Expert Offers Guide to End-of-Life Care Years ago, dying patients in most communities often had a single option if they needed hospice care. Now they have many more; competition reigns. Eligibility criteria contribute to racial disparities in hospice use A new study finds that hospice services-care that is provided by physicians, visiting nurses, chaplains, home health aides, social workers and counselors-have restrictions that reduce usage by many patients who are most in-need, particularly African Americans. Beyond the terminal: Palliative care Palliative care was once reserved for patients when all curative options had been exhausted and death was imminent, but now it is considered an integral part of the care that should be available to patients with serious respiratory disorders and critical illnesses. Study finds improvement in the care of children with cancer at the end of life Expanded use of palliative care services is associated with enhanced communications between families and caregivers, improved symptoms management, and better quality of life for children dying from cancer, according to study by researchers at Dana-Farber Cancer Institute and Children's Hospital Boston. Seven-point system gauges seriousness of heart failure in elderly A simple points system may soon help guide treatment of elderly heart failure patients. Researchers at Washington University School of Medicine in St. Louis found that by counting how many of seven easy-to-obtain health factors a patient has, physicians can estimate the patient's risk of dying. Hospice expert tells Beeb about pioneering palliative project A leading expert in hospice care from Staffordshire University has been featured on an international BBC broadcast to talk about pioneering work involving a British aid team which helped set up palliative care in Russia. Bob Becker, a Senior Lecturer in Palliative Care at Staffordshire University's School of Health and the Shropshire and Mid-Wales Hospice, was recently interviewed on the Health Matters programme of the BBC World Service. Bob was invited onto the programme by BBC Russian Affairs Analyst Stephen Dalziel who was moved by an online article outlining Bob's visit to Moscow as part of a British humanitarian aid team. One experience that was particularly poignant for Bob was meeting More Hospice Care Current Events and Hospice Care News Articles |
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