The effect of inpatient hospice units on hospice use post-admission

The effect of inpatient hospice units on hospice use post-admission

Erickson SE; Fried TR; Cherlin E; Johnson-Hurzeler R; Horwitz SM; Bradley EH

Home Health Care Services Quarterly

2002

Cross-Sectional Studies; Female; Humans; Male; Aged; Health Services Research; Hospitals; 80 and over; Non-U.S. Gov't; Research Support; Connecticut; Terminally Ill/statistics & numerical data; Patient Admission/statistics & numerical data; Aftercare/organization & administration/utilization; Community/organization & administration; Hospice Care/organization & administration/utilization; Hospital Units/organization & administration/utilization; Palliative Care/organization & administration/utilization

The objective of this study was to determine whether having a hospice unit within the hospital increases the proportion of terminally ill patients who use hospice services (including home, nursing home, or inpatient hospice) post-admission. Using medical record data abstracted for 232 randomly selected patients with terminal cancer admitted to six community hospitals in Connecticut, we found that patients admitted to a hospital with a hospice unit were more likely to use hospice services (i.e., home hospice, nursing home hospice, or inpatient hospice) post-admission than patients admitted to a hospital without a hospice unit (unadjusted OR 5.7, 95% CI 3.1, 10.6). This effect persisted after adjusting for patient age, gender, marital status, documented discussions of prognosis, prior hospice use, and type of cancer.

2002

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