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Eligibility criteria contribute to racial disparities in hospice use

A new study finds that hospice services are restricted by eligibility criteria that reduce usage among patients who need it most, particularly African Americans. The researchers suggest revising the criteria to prioritize those with greater needs for specific services like pain management.

SourceAmerican Cancer Society·JournalCancer·DateDec 22, 2008

National hospice study reveals gaps in service

A new University of Michigan study finds major gaps in hospice care availability across the US, attributed to low Medicare funding and reliance on charity. The study shows that communities with lower average incomes and education levels have fewer hospices, while areas with higher incomes and educated populations have more.

SourceMichigan Medicine - University of Michigan·DateApr 11, 2008

1 in 10 hospice patients referred 'too late,' study shows

A new study by Brown University researchers found that one in 10 hospice patients are referred 'too late' for services, resulting in unmet needs. Families who reported having a loved one referred 'too late' were dissatisfied with the care received and reported more pain management problems.

SourceBrown University·JournalJournal of Pain and Symptom Management·DateJun 28, 2007

Annals of Internal Medicine tip sheet for March 20, 2007

A study on rheumatoid arthritis found that flexible use of drugs with close patient follow-up can effectively control the disease. Additionally, a trial on men with prostate cancer showed that an osteoporosis drug strengthens bones and reduces bone loss.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateMar 19, 2007
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Another form to fill in

A study by CQU's International Program for Psycho-Social Health Research (IPP-SHR) revealed that standardised questionnaires in hospice practice negatively impacted upon patients' and carers' experiences and wellbeing. Informal conversation was seen as a flexible, sensitive, and consumer-focused alternative to questionnaire use.

SourceResearch Australia·JournalSupportive Care in Cancer·DateOct 25, 2006

Some hospice patients and families talk of hastening death

A survey of 73 social workers in the Carolinas found that over a quarter reported similar comments from patient family members. The study suggests that hospice patients considering hastening death may differ from typical patients, with higher rates of cancer. Social workers can provide assessment and intervention to address these needs.

SourceAtrium Health Wake Forest Baptist·JournalJournal of Pain and Symptom Management·DateMay 28, 2004
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Dad's death helps national expert evaluate end-of-life care

Since 1991, end-of-life care has seen significant improvements in palliative care and hospice availability. Timothy Quill's father's death provided a unique opportunity to illustrate the good and bad in end-of-life care, highlighting the need for consistent availability of care options.

SourceUniversity of Rochester Medical Center·JournalNew England Journal of Medicine·DateMay 12, 2004

Researchers study experiences of hospice nurses with patients who hasten death

Hospice nurses reported that patients who hastened death by refusing food and fluids were ready to die, saw no meaning in living, and had poor quality of life. These patients died within 15 days after stopping food and fluids, with a median score of 8 for the quality of their deaths.

SourceOregon Health & Science University·JournalNew England Journal of Medicine·DateJul 23, 2003
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Improving End-Of-Life Care For Terminally Ill

The Palliative Care Project challenges the current model of medical care, which forces terminally ill patients to choose between continued medical treatment and hospice care. The new program integrates both services, allowing patients to receive cutting-edge medical therapy while also benefiting from palliative care.

SourceUniversity of Michigan·DateJan 12, 1999

Underuse Of Hospice Care Hurts Patients, Wastes Money

Hospice care is underused in the US, with most patients enrolling too late to benefit from it. Short stays can lessen the effectiveness of hospice care, leaving little time for caregivers to learn about the patient's needs and arrange optimal care.

SourceUniversity of Chicago Medical Center·DateJul 18, 1996