ArticleHealth affairs (Project Hope)2012
Hospices' enrollment policies may contribute to underuse of hospice care in the United States.
Article in Health affairs (Project Hope), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Models of Palliative Care Delivery for Individuals with Cystic Fibrosis: Cystic Fibrosis Foundation Evidence-Informed Consensus Guidelines.Journal of palliative medicine · 2021Guideline
- Transfusion dependence, use of hospice services, and quality of end-of-life care in leukemia.Blood · 2018Trial
- Perceived Value of Transfusion Access and Hospice Services Among Patients With Blood Cancers.JAMA network open · 2025Article
- Social relationships and end-of-life quality among older adults in the United States: the impacts of marital, kinship, and network ties.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Nutrition in palliative care at the end of life: Bibliometric and network analysis until 2024.Medicine · 2025Article
- Contemporary Patterns of End-of-Life Care Among Medicare Beneficiaries With Advanced Cancer.JAMA health forum · 2025Article
- Hospice providers serving assisted living residents: Association of higher volume with lower quality.Journal of the American Geriatrics Society · 2024Article
- Top Ten Tips Palliative Care Clinicians Should Know About Acute Myeloid Leukemia.Journal of palliative medicine · 2024Article
- Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers.Journal of pain and symptom management · 2024Article
- Access to High-Quality Hospice Care in a For-Profit World.The oncologist · 2023Article
- Description and Outcomes of an Innovative Concurrent Hospice-Dialysis Program.Journal of the American Society of Nephrology : JASN · 2022Article
- Impact of Comorbid Dementia on Patterns of Hospice Use.Journal of palliative medicine · 2022Article
- End-of-life patterns of symptom management and cancer-directed care among Medicare beneficiaries with lung cancer: a claims-based analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Family Caregiving at the End of Life and Hospice Use: A National Study of Medicare Beneficiaries.Journal of the American Geriatrics Society · 2020Article
- Trends in Provision of Palliative Radiotherapy and Chemotherapy Among Hospices in the United States, 2011-2018.JAMA oncology · 2020Article
- Trends In Residential Setting And Hospice Use At The End Of Life For Medicare Decedents.Health affairs (Project Hope) · 2020Article
- Hospice Utilization in the United States: A Prospective Cohort Study Comparing Cancer and Noncancer Deaths.Journal of the American Geriatrics Society · 2020Article
- Families in Later Life: A Decade in Review.Journal of marriage and the family · 2020Article
- Management of bleeding in palliative care patients in the general internal medicine ward: a systematic review.Annals of medicine and surgery (2012) · 2020Review
- Well-Being at the End of Life.Annual review of sociology · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Hospice use in the United States is growing, but little is known about barriers that terminally ill patients may face when trying to access hospice care. This article reports the results of the first national survey of the enrollment policies of 591 US hospices. The survey revealed that 78 percent of hospices had at least one enrollment policy that may restrict access to care for patients with potentially high-cost medical care needs, such as chemotherapy or total parenteral nutrition. Smaller hospices, for-profit hospices, and hospices in certain regions of the country consistently reported more limited enrollment policies. We observe that hospice providers' own enrollment decisions may be an important contributor to previously observed underuse of hospice by patients and families. Policy changes that should be considered include increasing the Medicare hospice per diem rate for patients with complex needs, which could enable more hospices to expand enrollment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.