Navigation Links
Primary care visits reduce hospital utilization among Medicare beneficiaries at the end of life
Date:6/5/2008

Boston, MA Researchers from Boston University School of Medicine (BUSM) have found that primary care visits reduce hospital utilization among Medicare beneficiaries at the end of life. The recently published study appears in the Journal of General Internal Medicine.

According to researchers, medical treatments for the six percent of Medicare beneficiaries who die each year comprise almost 30 percent of Medicare expenditures. In addition, the quality of end-of-life care is often poor. Problems include late referrals to hospice, undertreatment of pain, overtreatment with unwanted or ineffective procedures, poor communications regarding prognosis and treatment preferences, and in-hospital deaths that are inconsistent with stated preferences.

Researchers measured hospital utilization during the final six months of life and the number of primary care physician visits in the 12 preceding months for 78,356 Medicare beneficiaries age 66 +. Hospital days, costs, in-hospital death, and presence of two types of preventable hospital admissions also were studied.

Thirty-eight percent of adults did not have any primary care visits during their final six months of life, 22 percent had one to two primary care visits, 19 percent had three to five visits, 10 percent had six to eight visits and 11 percent had nine or more visits. More primary care visits in the preceding year were associated with fewer hospital days (15.3 days for those with no primary care visits vs. 13.4 days for those with nine or more visits) lower costs ($24,400 vs. $23,400) less in-hospital death (44 percent vs. 40 percent) and fewer preventable hospitalizations for those with congestive heart failure or chronic obstructive pulmonary disease.

"Primary care visits in the preceding year of life are associated with less, and less costly, end of life hospital utilization," said senior author Andrea Kronman, M.D., an attending physician in the Section of General Internal Med
'/>"/>

Contact: Michelle Roberts
michelle.roberts@bmc.org
617-638-8491
Boston University
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Aflac to be Primary Sponsor of Carl Edwards and the No. 99 Ford Fusion
2. Can pathological techniques help identify primary colorectal signet ring cell carcinoma?
3. ACP says major system reforms needed to improve the state of primary care medicine in the US
4. Patient Centered Primary Care Collaborative Releases New Guidelines for Health Care Purchasers
5. Providence Saint Joseph Medical Named LA Countys Third Primary Stroke Center
6. Cardinal Health, ClearCount Medical Solutions Sign Primary Distribution Agreement for RFID-Enabled Sponge Counting, Detection System
7. One-Third of U.S. Primary Care Physicians and Cardiologists Do Not Currently Prescribe Treatment to Meet HDL Cholesterol Targets as Recommended By National Guidelines
8. ‘15by2015’ - A Campaign to Strengthen Primary Healthcare Around the World
9. An efficient response in primary care would reduce the use of hospitals by elderly people
10. Jeffrey Modell Foundation and Talecris Biotherapeutics Expand Diagnostic Services for Primary Immunodeficiencies at Lucile Packard Childrens Hospital at Stanford
11. U of Minn researchers find primary alcohol prevention programs are needed for tweens
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/2/2015)... ... July 02, 2015 , ... ... pipeline review 2015” provides comprehensive information on the pipeline products with comparative ... negative pressure wound therapy (NPWT) with 22 market data tables and 4 ...
(Date:7/2/2015)... (PRWEB) , ... July 02, ... ... e-commerce janitorial supply company , announced today that it has reached ... The acquisition will make CleanItSupply.com the largest distributor of Rubbermaid Commercial Products ...
(Date:7/2/2015)... ... ... Time Pain Relief (RTPR), makers of the popular rub-on pain relief lotion and products, ... The Fifth Annual Big Sky Professional Bull Riders Event being held this month at Big ... relief lotion and products at the family friendly event that features two days of bull ...
(Date:7/2/2015)... ... July 02, 2015 , ... ... consulting services to the federal government, has announced they are among nine contractors ... Management Office Support Services (BMOSS) contract not to exceed $250 million. , ...
(Date:7/2/2015)... AL (PRWEB) , ... July 02, 2015 , ... ... to FEMA’s Center for Domestic Preparedness (CDP) in Anniston for specialized disaster training. ... were among 115 individuals from the Southern California Hospital Association who attended the ...
Breaking Medicine News(10 mins):Health News:Negative Pressure Wound Therapy (System, Wound Care, Tissue Cooling NPWT) Pipeline Review 2015 Market Research Report Available at RnRMarketResearch.com 2Health News:Negative Pressure Wound Therapy (System, Wound Care, Tissue Cooling NPWT) Pipeline Review 2015 Market Research Report Available at RnRMarketResearch.com 3Health News:Negative Pressure Wound Therapy (System, Wound Care, Tissue Cooling NPWT) Pipeline Review 2015 Market Research Report Available at RnRMarketResearch.com 4Health News:CleanItSupply.com Acquires eRubbermaid.com 2Health News:Real Time Pain Relief Sponsors The Fifth Annual Big Sky Professional Bull Riders Event at Big Sky Town Center in July 2Health News:Real Time Pain Relief Sponsors The Fifth Annual Big Sky Professional Bull Riders Event at Big Sky Town Center in July 3Health News:Octo Consulting Group Awarded IDIQ Contract for SEC Business Management Support 2Health News:Team from Loma Linda University Health Receives Specialized Disaster Training at FEMA’s Center for Domestic Preparedness 2Health News:Team from Loma Linda University Health Receives Specialized Disaster Training at FEMA’s Center for Domestic Preparedness 3
... type of footwear aimed at preventing amputations and other ... remote village in India’s State of Tamil Nadu, courtesy ... the "Diabetes Amputation Prevention Initiative in the Community (DAPIC)" ... the special shoes came as a boon. DAPIC seeks ...
... measles in an earthquake relief camp is further complicating ... Muzaffarabad. As many as 14 cases have been reported, ... Bala Camp//. ,"All of them are children ... Secretary of Health. ,Malik said eight of the ...
... again, the scientific community has been arguing about the ... study in favor of the above argument has shown ... actually help prevent obesity. ,The study was ... presented for a health and nutrition survey. The participants ...
... Mothers have been known to influence their children in ... been found that their attitude towards eating habits and ... teenagers as well. Perception of the teenager’s mother regarding ... ,A number of genetic and other environmental factors are ...
... A recent study in Chicago compares the dietary habits and ... to regular intake of high calorie diet and employment of ... of the students//. Other factors such as selling food and ... all point out to the increased body weight. About two ...
... prisoners being sold to foreigners for human transplantation purposes ... health officials, who have been passive// about the issue ... prevalence of such an inhuman act. ,Despite ... total strangers (were paid for their donation) and transmission ...
Cached Medicine News:Health News:Adolescents Influenced By Maternal Attitude Regarding Weight Control 2Health News:Widespread Commercialisation Of Human Organ Donation In China 2
(Date:7/2/2015)... 2, 2015 Pharma Major Lupin Limited ... "Biocom" in Russia subject to certain ... pharmaceutical market which recorded RUB 765 billion in sales, placing ... the world in 2014 (IMS Health). For over a decade, ... continue with this trend, projecting Russia ...
(Date:7/2/2015)... 2015 Research ... addition of the "2015 New Frontiers ... Emerging Technologies, Competitive Landscape" report to ... in Clinical Chemistry and Immunodiagnostics: Global Challenges, ... seven-country strategic analysis of major business opportunities ...
(Date:7/2/2015)... , July 2, 2015  The Commission for ... with ASHP, an organization that represents pharmacists in ... provider of continuing education for recertification of Certified ... of geriatric programs for this purpose.  ASHP will ... authorized providers for the CCGP Professional Development Program. ...
Breaking Medicine Technology:Lupin Acquires Biocom in Russia 2Lupin Acquires Biocom in Russia 3New Frontiers in 2015 Global Clinical Chemistry and Immunodiagnostics Market: Challenges, Emerging Technologies, Competitive Landscape 2Commission for Certification in Geriatric Pharmacy Adds ASHP as Professional Development Program Provider 2
... a,biopharmaceutical company focused on the development of novel ... from its,Phase I safety and tolerability study of ... MRX-4 was nasally administered as a single ... first administration was given without a nasal,allergen challenge ...
... Applied,Biology, Inc. (FAB) announced today that it has ... IIB grant from the National,Science Foundation. The $500,000 ... cell-free protein synthesis technology towards commercialization., During ... Phase II,NSF projects, FAB successfully demonstrated that certain ...
Cached Medicine Technology:Morria Biopharmaceuticals Plc Announces Preliminary Safety and Tolerability Results From Its Phase I Clinical Study of MRX-4 in Allergic Rhinitis Patients 2Fundamental Applied Biology, Inc. Is Awarded SBIR Phase IIB Grant for the Commercialization of Protein Therapeutics Using Cell Free Technology 2
... Achieve high-speed productivity in the lab ... system, dedicated for pre- and post-analytical sorting ... HSS selectively decaps and then sorts primary ... to save time, labor, and eliminate ...
... Catering to the special needs ... Infant ThermoWrap™ protects the littlest ... their most vulnerable by providing ... continuous management of an infants ...
Cocoon Disposable Patient Warming Blankets are specially designed to prevent hypothermia and maintain normothermia in your patients. The soft warm coloured material is strong and resists tearing and ...
A smaller version of the Model 525 lower body blanket, this blanket is ideal for warming the large child or small adult during upper body surgery....
Medicine Products: