ArticleMedical care2016
The Impact of Reported Hospice Preferred Practices on Hospital Utilization at the End of Life.
Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses 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
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Live Hospice Discharge of Individuals with Cognitive Disabilities: A Systematic Review.Journal of the American Medical Directors Association · 2025Pooled it
- Factors associated with older people's emergency department attendance towards the end of life: a systematic review.European journal of public health · 2019Pooled it
- Palliative Care in Chronic Heart Failure: A Systematic Review of Its Impact on Symptoms, Quality of Life, and Decision-Making Process.Diseases (Basel, Switzerland) · 2025Review
- A Strategic Path Forward for Hospice and Palliative Care: A White Paper on the Potential Future of the Field.Palliative medicine reports · 2025Article
- Private Equity Acquisitions Of Hospices Are Increasing; Ownership Remains Opaque.Health affairs (Project Hope) · 2024Article
- Best Practices in End of Life and Palliative Care in the Emergency Department.Clinics in geriatric medicine · 2023Review
- Access to High-Quality Hospice Care in a For-Profit World.The oncologist · 2023Article
- Hospice agency characteristics associated with benzodiazepine and antipsychotic prescribing.Journal of the American Geriatrics Society · 2023Article
- Local Area Hospice Capacity and Rural Disparities in Hospice Use among Older Adults with Metastatic Breast Cancer.Journal of palliative medicine · 2023Article
- Hospice Tax Status and Ownership Matters for Patients and Families.JAMA internal medicine · 2021Article
- Trends In Residential Setting And Hospice Use At The End Of Life For Medicare Decedents.Health affairs (Project Hope) · 2020Article
- The application of palliative care in dementia.Journal of family medicine and primary care · 2019Review
- Hospice Care for Patients With Dementia in the United States: A Longitudinal Cohort Study.Journal of the American Medical Directors Association · 2018Article
- Racial Disparities in Hospice Outcomes: A Race or Hospice-Level Effect?Journal of the American Geriatrics Society · 2018Article
- Association between Hospice Spending on Patient Care and Rates of Hospitalization and Medicare Expenditures of Hospice Enrollees.Journal of palliative medicine · 2018Observational
- Associations of Hospice Disenrollment and Hospitalization With Continuous Home Care Provision.Medical care · 2017Article
- The Affordable Care Act and End-of-Life Care for Patients With Cancer.Cancer journal (Sudbury, Mass.)Article
- The Effect of Hospice on End-of-Life Costs for Terminal Medicare Patients With HIV.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThe Affordable Care Act requires hospices to report quality measures across a range of processes and practices. Yet uncertainties exist regarding the impact of hospice preferred practices on patient outcomes.
objectiveAssess the impact of 6 hospice preferred practices and hospice organizational characteristics on hospital utilization and death using the first national data on hospice preferred practices.
designLongitudinal cohort study (2008-2011) of Medicare beneficiaries (N=149,814) newly enrolled in a national random sample of hospices (N=577) from the National Hospice Survey (84% response rate) and followed until death. OUTCOME MEASURES: The proportion of patients at each hospice admitted to the hospital, emergency department (ED), and intensive care unit (ICU), and who died in the hospital after hospice enrollment.
resultsHospices that reported assessing patient preferences for site of death at admission had lower odds of being in the highest quartile for hospital death (AOR=0.36; 95% CI, 0.14-0.93) and ED visits (AOR=0.27; 95% CI, 0.10-0.76). Hospices that reported more frequently monitoring symptoms had lower odds of being in the highest quartile for ICU stays (AOR=0.48; 95% CI, 0.24-0.94). In adjusted analyses, a higher proportion of patients at for-profit compared with nonprofit hospices experienced a hospital admission (15.3% vs. 10.9%, P<0.001), ED visit (21.8% vs. 15.6%, P<0.001), and ICU stay (5.1% vs. 3.0%, P<0.001).
conclusionsHospitalization of patients following hospice enrollment varies substantially across hospices. Two of the 6 preferred practices examined were associated with hospitalization rates and for-profit hospices had persistently high hospitalization rates regardless of preferred practice implementation.
Indexed as
Identifiers
What OpenQuestion holds
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.