Navigation Links
Hospice use rises; So does aggressive care
Date:2/5/2013

ndations

The apparent reasons for the observed increases are a mix of regional differences in physician culture, the financial incentives of fee-for-service care, and the lack of timely communication with patients and their family about the goals of care, Teno said.

Teno and her colleagues found that people with more predictable causes of death - cancer were much more likely to die at home and with hospice care than patients who suffered from chronic obstructive pulmonary disease, a condition with a less certain end-of-life trajectory.

But in data not published in the paper, the researchers also observed wide state-by-state variations in late hospice referrals. In fact, her home state of Rhode Island had one of the highest rates of short stays in hospice. This variation is a product not of differences in patient health, she said, but differences in local medical culture around palliative care.

As importantly, Teno said, fee-for-service reimbursements create financial incentives for doctors and other providers to pursue aggressive measures rather than to sit down with family members and patients to develop an end-of-life care plan that incorporates their preferences.

"We need to transform our health care system, from one based on fee-for service medicine for the majority of Americans, to one where people are not paid for just one more ICU day," Teno said. "Instead we need a system where doctors and hospitals are paid for delivering high-quality, patient-centered care that understands the dying patient's needs and expectations and develops a care plan that honors them. We need publicly reported quality measures that hold institutions accountable to the standard of patient-centered care for the dying."

By revealing the patterns of where, when, and for how long patients received palliative services around the time of their death, the study begins to provide such data.


'/>"/>
Contact: David Orenstein
david_orenstein@brown.edu
401-863-1862
Brown University
Source:Eurekalert  

Page: 1 2 3

Related medicine news :

1. Minorities Less Likely to Use Hospice Care: Study
2. Medicare: Barrier to hospice increases hospitalization
3. Prohibitive reimbursement may restrict hospice enrollment in patients requiring high-cost care
4. Pathways Home Health & Hospice Receives 2012 HomeCare Elite Top Honor for Quality Care
5. Tips for Making the Holidays Safer and Calmer for Dementia Patients from Pathways Home Health & Hospice
6. Cyclists Ride for a Cause at Bike Michiana for Hospice
7. NHPCO Brings 100 Hospice Leaders Together to Create Future Care Delivery Models
8. Treat Rheumatoid Arthritis Early and Aggressively: Guidelines
9. 2 genetic deletions in human genome linked to the development of aggressive prostate cancer
10. Protein RAL associated with aggressive characteristics in prostate, bladder and skin cancers
11. Some pollens are much more aggressive than others
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Hospice use rises; So does aggressive care
(Date:11/24/2014)... 2014 Olaparib functions as a chemical ... is one of the first PARP inhibitors. Sufferers with ... types of melanoma, and are often immune to other ... their malignancies a exclusive weaknesses, as the tissues of ... DNA and allow them to proceed splitting. This implies ...
(Date:11/24/2014)... November 24, 2014 The Holiday Inn ... Family and Children's Association to donate various ... shampoo, mouthwash and other such items.The Association's program is ... home bound, living in nursing homes, assisted living facilities ... enhance the well being of seniors throughout the Long ...
(Date:11/24/2014)... 24, 2014 Mental health issues ... They break up families, ruin careers, and generally ... for those that suffer,” says Hardy Nutritionals® ... showing that our specialized nutritional treatments can reverse ... on “Mind Over Matter”, the premiere episode of ...
(Date:11/24/2014)... (PRWEB) November 24, 2014 SafeHandles™ announced ... of Innovations with Ed Begley Jr, airing via Discovery ... created to provide a passive, non-invasive, replaceable, and affordable ... SafeHandles™ incorporates custom-fit shrinkable sleeves and adhesives to promote ... , “At the core of SafeHandles is the desire ...
(Date:11/24/2014)... Gersowitz Libo & Korek, P.C., a leading ... Tier recognition in the 2015 Edition of U.S. News-Best Lawyers ... a unique combination of quality law practice and breadth of ... honor and especially grateful to our clients whose continued support ... possible,” said Jeff S. Korek, senior partner at Gersowitz ...
Breaking Medicine News(10 mins):Health News:Olaparib Industry (CAS 763113-22-0) 2009-2019 Global and China Research Reports is Now Available at RnRMarketResearch.com 2Health News:Olaparib Industry (CAS 763113-22-0) 2009-2019 Global and China Research Reports is Now Available at RnRMarketResearch.com 3Health News:Olaparib Industry (CAS 763113-22-0) 2009-2019 Global and China Research Reports is Now Available at RnRMarketResearch.com 4Health News:The Holiday Inn Westbury - Long Island gives back to the local Long Island community, and also goes beyond borders to assist those in need during the 2014 Holiday Season 2Health News:The Holiday Inn Westbury - Long Island gives back to the local Long Island community, and also goes beyond borders to assist those in need during the 2014 Holiday Season 3Health News:Nutritional Mental Health Treatment Featured on Access Health Airing on Lifetime Television® 2Health News:Nutritional Mental Health Treatment Featured on Access Health Airing on Lifetime Television® 3Health News:New Episode of Innovations TV Series to Feature SafeHandles™ 2Health News:U.S. News-Best Lawyers “Best Law Firms” Names Gersowitz Libo & Korek P.C. a 2015 Tier 1 Ranking Firm 2
... specific antigen level is a marker to help determine if ... determine //the prevalence of men with prostate cancer who had ... used from the Prostate Cancer Prevention Trial. Among 9,459 men ... of more than four or an abnormal rectal examination. For ...
... major cause of death among women, but a routine ... the // latest recommendations. Researchers recommend against routine ovarian ... potential benefits. ,Researchers say there is no existing ... cancer. They say the majority of women who have ...
... A new study shows pregnant women with asthma can reduce ... Results show asthmatic // mothers who ate oily fish, such ... likely to have children with asthma. In fact, researchers say ... her child was to develop asthma. Children with non-asthmatic mothers ...
... say , moms-to-be who are carrying girls are more ... than pregnant asthmatic women carrying boys. Doctors speculate female ... inflammation of the mother’s airways that somehow worsens the ... of asthmatic women who were pregnant with boys were ...
... from a recent study researchers say, the ancient Eastern tradition ... who took part in yoga classes reported better sleep quality ... conducted among 39 lymphoma patients who were either undergoing treatment ... half the patients were assigned to the yoga classes while ...
... The Food and Drug Administration has approved an effective ... cancer is the second leading cause of cancer death ... there will be about 230,900 new cases of prostate ... consists of Taxotere (docetaxel) and prednisone (a steroid). Researchers ...
Cached Medicine News:
(Date:11/21/2014)... VIENNA, Va. , Nov. 21, 2014  Alta ... in Southern California , today announced ... technology. Alta will be providing the innovative BeClose system ... Logo - http://photos.prnewswire.com/prnh/20141121/160143LOGO ... providing the kind of affordable 24/7 care our clients ...
(Date:11/21/2014)... SAN CLEMENTE, Calif. , Nov. 21, 2014 /PRNewswire/ ... Lab Coats and Performance Scrubs carried out a new ... the medical industry,s very first "limited edition" lab ... the first female professors of surgery in the world. ... departure from its unisex predecessors, with a sleek envelope ...
(Date:11/21/2014)... MARCOS, Texas , Nov. 21, 2014  World ... hemp containing low THC, announces they are now offering ... comparable to Charlotte,s Web type strains grown in medical ... from other neurological disorders, such as Parkinson,s, MS, and ... for US laws to pass, because imported CBD Oil ...
Breaking Medicine Technology:Alta Home Care, Inc. and BeClose Partner to Enable Seniors to Remain in Their Homes Safely and Securely 2Medelita Introduces Medical Industry's First Limited Edition Women's Designer Lab Coat 2New CBD Oil From Industrial Hemp is Comparable to Charlotte's Web, Legal In All 50 States 2New CBD Oil From Industrial Hemp is Comparable to Charlotte's Web, Legal In All 50 States 3
... Inc. (NYSE: HRC ) will release its fiscal ... company will host a webcast the following morning on Thursday, ... Earnings Release:   Hill-Rom,s Fiscal 2011 Third Quarter Earnings Release ... to the public after the close of the NYSE on ...
... N.J., June 29, 2011 Par Pharmaceutical Companies, Inc. ... of its branded division, Strativa Pharmaceuticals, as part of ... a workforce reduction of approximately 100.  The Company believes ... the near term. Patrick G. LePore, Chairman, ...
Cached Medicine Technology:Hill-Rom Holdings, Inc. Hosts Fiscal 2011 Third Quarter Earnings Webcast 2Par Pharmaceutical Companies Announces a Restructuring of Its Branded Division, Strativa Pharmaceuticals, to Maximize Profitability 2
The Low Profile boot provides a durable canvas upper, with an open toe and heel. Padded EVA insole protection. The lower outsole compensates for casting thickness. Available in six unisex sizes....
... assay for the qualitative and ... to Gliadin in human serum. ... be used as an aid ... disorders, mainly Coeliac Disease. This ...
... The GeneXpert System utilizes real-time polymerase chain ... DNA. The system is the first to ... required for PCR-based DNA testing: sample preparation, ... hands-on preparation, the system provides PCR test ...
The Calcanea® calcaneal fracture fixation plate is specifically designed to treat fractures of the hind foot. Its unique combined features include variable thickness and angle-stabilized and/or ...
Medicine Products: