Increased Length of Stay in For-Profit Hospices

For-profit hospices have more patients with diagnoses requiring less resource-intensive care

TUESDAY, Feb. 1 (HealthDay News) -- Hospice agencies that operate for profit have a higher percentage of patients with diagnoses associated with lower-skilled needs, and longer length of stay compared to nonprofit hospice agencies, according to a study published in the Feb. 2 issue of the Journal of the American Medical Association.

Melissa W. Wachterman, M.D., M.P.H., from Harvard Medical School in Boston, and colleagues reviewed a sample of 4,705 patients discharged from hospices in the 2007 National Home and Hospice Care Survey. Diagnoses, length of stay, and number of visits per day by hospice workers were measured.

The investigators found that for-profit hospices had a lower proportion of patients with cancer, and a higher proportion of patients with dementia and other noncancer diagnoses compared with nonprofit hospices. Patients in for-profit hospices had a significantly longer length of stay, compared with nonprofit hospices, and for-profit hospices were more likely to have patients who stayed longer than 365 days, and less likely to have patients with stays shorter than seven days. Patients with dementia or other diagnoses had significantly fewer visits from nurses and social workers per day compared to patients with cancer.

"Given that approximately one million Medicare beneficiaries use hospice each year and that the for-profit hospice industry continues to expand rapidly, future research is needed to understand more fully the association of profit status with quality of care and patient and caregiver experiences at the end of life," the authors write.

Abstract
Full Text

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events