Hospice Current Events

Hospice Current Events, Hospice News Articles.
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Five-year study sheds light on hospice care in assisted living facilities versus in the home
Researchers have found several key differences among people who receive hospice care -- which maintains or improves the quality of life for someone whose condition is unlikely to be cured -- in assisted-living facilities compared with people who receive hospice care at home. (2015-07-06)

Delayed hospice care can increase depression among survivors after death of a loved one
Delayed enrollment in hospice can result in increased depression among family members after the death of their loved one, according to a study by Yale researchers published in the American Journal of Psychiatry. (2004-12-08)

New Medicare-Certified Hospice Care Program Now Available At Cedars-Sinai Medical Center
A new Medicare-certified, family-centered Hospice Care Program is now available at Cedars-Sinai Medical Center. To commemorate the opening of this important community service, the medical center will host an Open House on Thursday, Aug. 6, from 4- 7 p.m. The Open House is open to patients, their families and community leaders, and will be held at the hospice offices located in the Goodson Building, 444 S. San Vicente Blvd., Suite 103, Los Angeles. (1998-07-30)

Study finds race has an impact on both enrollment and disenrollment in hospice care
Although use of hospice services is increasing dramatically, a study led by Regenstrief Institute investigator Kathleen T. Unroe, M.D., MHA, an assistant research professor of medicine at the Indiana University School of Medicine, has found that nonwhite Medicare patients with heart failure are 20 percent less likely to enroll in hospice than their white counterparts. (2012-06-25)

Patients who do not enroll in hospice are more likely to receive aggressive cancer care
More patients with cancer use hospice today than ever before, but there are indications that care intensity outside of hospice is increasing, and length of hospice stay decreasing. Researchers at Brigham and Women's Hospital examined how hospice affects health care utilization and costs and found that in a sample of elderly Medicare patients with advanced cancer, hospice care was associated with significantly lower rates of both health care utilization and total costs during the last year of life. (2014-11-11)

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. (2008-12-22)

Lack of research keeps end-of-life care in status quo
A University of Missouri School of Medicine researcher has found that only 10 randomized controlled trials have taken place in US hospices since 1985. The researcher said more randomized trials by hospice researchers could lead to improved care for hospice patients. (2016-02-04)

Study assesses hospice use in and out of nursing homes and by patients in transition
A new study from the Regenstrief Institute and the Indiana University Center for Aging Research compares the characteristics of hospice patients in nursing homes with hospice patients living in the community. The study also provides details on how hospice patients move in and out of these two settings. (2014-12-09)

Supply of hospice services strongly associated with local area's median household income
Wealth, population size, race and age associate with the supply of hospice care available in a county, according to a study published in the Journal of Pain and Symptom Management this month. (2011-05-09)

More people are dying in hospices in England
The proportion of people dying in hospices in England has nearly doubled since 1993, but the gap in hospice deaths between people living in the least and most deprived areas appears to be growing, find a new study by the Cicely Saunders Institute at King's College London. (2015-05-19)

Study: Medicare policy may account for growing length of hospice stays in nursing homes
Hospice care, certified and reimbursed by Medicare, offers specialized end-of-life care in the nursing-home setting. A new study finds that the average length of hospice stays is growing and has doubled in 10 years. A reimbursement policy based on when more hospice care occurs -- usually at the beginning and end of a hospice stay -- could result in more efficient payment for hospice care than the same daily rate regardless of length of stay. (2010-07-09)

Hospice care is short and may start later than needed
Older adults are admitted to hospice for short duration despite experiencing symptoms months prior to the end of life, according to a Yale-led study. The finding highlights the need for earlier hospice admission or other strategies to address increasing symptoms and disability at the end of life, the researchers said. (2017-09-12)

For leukemia patients, transfusion needs may delay hospice care
Researchers report that thousands of leukemia patients who received frequent transfusions had very short stays in hospice at the end of life, suggesting that transfusion dependence presents a barrier to making meaningful use of palliative care. (2017-12-09)

Study compares hospice care in nursing homes, assisted living facilities and patient homes
A new study from the Indiana University Center for Aging Research and the Regenstrief Institute has found only minimal differences in the intensity of hospice services provided in nursing homes as compared to hospice services provided to patients in assisted living facilities or their homes. However the mix of services did vary by site type. (2017-03-23)

Hospice care in nursing homes can reduce end-of-life hospital stays
The presence of hospice care in a nursing home cuts cumbersome and costly hospital stays for elderly residents in the last days of life, says a new Brown study in the American Journal of Medicine. (2001-07-23)

Study shows need for improved empathic communication between hospice teams and caregivers
A new study authored by University of Kentucky researcher Elaine Wittenberg-Lyles shows that more empathic communication is needed between caregivers and hospice team members. (2013-02-28)

Study finds room for improvement when hospital patients transition to hospice care
Terminally ill patients referred to hospice care from a hospital setting tend to be on hospice for shorter periods than those who enter hospice while living at home or in a residential care facility. (2020-10-16)

Study finds hospice use does not increase long stay nursing home decedents' care costs
Use of hospice services does not increase care costs in the last six months of life for long-stay nursing homes residents according to an analysis conducted by researchers from the Indiana University Center for Aging Research and the Regenstrief Institute. (2016-05-05)

Study finds differences in benefits, service at hospices based on tax status
The tax status of a hospice (for-profit vs. nonprofit) affects community benefits, the population served and community outreach. (2014-02-24)

Institute for Aging Research study finds racial differences in hospice use for heart failure
Building on previous studies that found racial differences in hospice use, a new study from the Institute for Aging Research of Hebrew SeniorLife and Boston University School of Medicine finds that blacks and Hispanics use hospice for advanced heart failure at a rate of up to 50 percent less than whites, despite a markedly higher rate of incidence of the disease in these populations. (2010-03-08)

How does it compare?: Hospice care at home, at assisted living facility, at nursing home
A new study from Indiana University Center for Aging Research and the Regenstrief Institute compares quality of hospice services provided for patients living at home, in assisted living facility and in nursing homes as perceived by family members. Findings, which reveal subtle but significant differences in perceived quality have potential to help influence priorities for improvement of quality, patient choice of hospice service provider and reimbursement for these services. (2018-02-15)

Video conferencing could increase shared decision-making in hospice care
Now, researchers at the University of Missouri have found that shared decision-making, although beneficial, could be enhanced in hospice care. The researchers recommend that health care workers employ measures such as video conferencing to help increase the likelihood of shared decision-making between patients and family caregivers. (2015-10-12)

Antibiotic use prevalent in hospice patients despite limited evidence of its value
New research suggests that use of antibiotics is still prevalent among terminal patients who have chosen hospice care as an end-of-life option, despite little evidence that the medications improve symptoms or quality of life, and sometimes may cause unwanted side effects. It's another example of serious overuse of antibiotics in the US. (2014-07-14)

Medicare: Barrier to hospice increases hospitalization
Because of a Medicare policy that prevents simultaneous reimbursement for skilled nursing and hospice care, many families cannot choose hospice for loved ones who reside in nursing homes. The result, new research shows, is that residents with advanced dementia who have Medicare skilled nursing home care without any hospice care have a far greater likelihood of dying in the hospital and receiving aggressive treatments such as feeding tubes or physical therapy within weeks of death. (2012-10-31)

Doctors differ on whether hospices should follow CPR guidelines
Experts in two papers published on bmj.com today disagree on whether cardiopulmonary resuscitation (CPR) guidelines should apply to hospices. (2009-03-26)

Hospice improves care for dementia patients and their families
Bereaved family members of nursing home patients who died of dementia were more likely to feel that they had adequate care and support if their loved one received hospice services, providing evidence that hospice provides a meaningful benefit according to a newly published study. The lead author says the research can inform the current debate on Medicare spending for hospice care in the nursing home setting. (2011-07-29)

A terrible choice: Cancer treatment or hospice care, but not both
Colorado studies explore costs, benefits, and experiences of veterans receiving concurrent cancer treatment and hospice care; their findings may provide the basis for wider adoption of this nonstandard practice. (2018-11-28)

Black and Hispanic patients with heart failure less likely to use hospice
Black and Hispanic Medicare beneficiaries with heart failure appear less likely to receive hospice care than white patients with the same condition, according to a report in the March 8 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. (2010-03-08)

Hospice referral rates increase with intervention improving communication
A simple information and communication intervention between a patient and physician can increase hospice referral rates among nursing home residents, increase their families' ratings of end-of-life care, and may decrease use of acute care resources, according to an article in the July 13 issue of JAMA. (2005-07-12)

New research shows disparities in hospice enrollment are not likely related to access
Researchers at Mount Sinai School of Medicine have found that 98 percent of the US population lives in communities within 60 minutes of a hospice provider, suggesting that disparities in use of hospice are not likely due to a lack of access to a hospice provider. The results are published in the current issue of the Journal of Palliative Medicine. (2010-11-03)

Brown expert offers guide to end-of-life care
Joan Teno, M.D., professor of community health and medicine at the Warren Alpert Medical School of Brown University, has co-written a guide to help doctors place their patients in the best possible hospice care. Details on the guide will be published in the Feb. 11, 2009, edition of the Journal of the American Medical Association. (2009-02-10)

Annals of Internal Medicine, tip sheet, February 17, 2004
Highlights in the February 17, 2004 issue of Annals of Internal Medicine include: U.S. group does not recommend EKG, treadmill tests and CT scans to screen people at low risk for heart disease; Hospice care doesn't lower overall medicare costs; Cognitive decline associated with left carotid artery disease even in people with no symptoms of artery disease. (2004-02-16)

Hospice workers struggle on front lines of physician-assisted death laws
Laws that allow physician-assisted death in the Pacific Northwest have provisions to protect the rights of patients, doctors and even the state, but don't consider the professionals most often on the front lines of this divisive issue -- hospice workers who provide end-of-life care. (2013-07-22)

Patients with cancer who stop hospice care boost health-care costs
Researchers at Mount Sinai School of Medicine have found that the costs of care for patients with cancer who cancel hospice were nearly five times higher than for patients who remained with hospice. Patients who cancel hospice are far more likely to use emergency department care and be hospitalized. The results are published in the Oct. 1 issue of the Journal of Clinical Oncology. (2010-09-23)

Penn medicine study reveals profile of patients most likely to delay hospice enrollment
One in six cancer patients enroll in hospice only during their last three days of life, according to a new study from a team from the Perelman School of Medicine at the University of Pennsylvania. Their findings, published online last month in the Journal of Clinical Oncology also reveal a profile of patients who may be most at risk of these late admissions. (2014-09-11)

Some hospice patients and families talk of hastening death
More that half of social workers who treat hospice patients report that they had been told by one or more patients that they were considering hastening their deaths, according to a survey of hospice social workers in the Carolinas. (2004-05-28)

Expanded insurance benefits break down barriers to hospice care, according to new study
Patients 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. (2009-09-01)

Improving End-Of-Life Care For Terminally Ill
The three-year study, called the Palliative Care Project, challenges the current model of medical care in which terminally ill patients must choose between continued medical treatment from conventional health care providers and the supportive benefits of hospice care. (1999-01-12)

Hospice care increasing for nursing home patients with dementia
More nursing home patients with dementia are seeking hospice care and using it longer, according to a new study by gerontologist Susan Miller and colleagues. Their findings appear online in the American Journal of Alzheimer's Disease and Other Dementias. (2010-12-15)

Study examines spiritual support for patients with advanced cancer
A study by Tracy A. Balboni, M.D., M.P.H., of the Dana-Farber Cancer Institute, Boston, and colleagues suggests that spiritual care and end-of-life discussions by the medical team may be associated with reduced aggressive treatment. (2013-05-06)

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