Enrollment and disenrollment in hospice linked to race

Published on June 25, 2012 at 12:51 PM · 1 Comment

An individual is eligible for hospice care if a physician estimates a life expectancy of six months or less, should the disease run its normal course. The emphasis of hospice is on enhancing the quality of life until death.

Co-authors of the study in addition to Dr. Unroe, who conducted the work while a geriatric medicine fellow at Duke University, are Melissa A. Greiner, M.S., Kimberly S. Johnson, M.D., MHS, Lesley H. Curtis, Ph.D., and Soko Setoguchi, M.D., Dr.P.H., of Duke. The research was supported by a John A. Hartford Foundation award to Dr. Unroe.

In a previous study of Medicare patients who died of heart failure, Dr. Unroe and colleagues found that use of hospice among heart failure patients "dramatically" increased, from 19 percent in 2000 to nearly 40 percent in 2007. However, rates of hospitalization in the final six months of life remained constant at about 80 percent.

Source: Indiana University School of Medicine

Posted in: Healthcare News

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Comments
  1. Rita Lawrence Rita Lawrence United Kingdom says:

    When I think of 6 months prognosis that is an awfully long time.  The most beneficial hospice care I have experienced was when a friend was truly at the end of life and was enrolled in hospice for the last 48 hours of his life.  I would like to see the statistics on dosages of medications and the time it takes for the person to die after they enroll.  It is an ethical slippery slidey slope when you are dealing with easing death and to be careful not to shorten life.

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