Evidence map›Paper›PMID 27693902›Full record

ArticleJournal of pain and symptom management2016

The Effect of Pediatric Palliative Care Policy on Hospice Utilization Among California Medicaid Beneficiaries.

Lisa C Lindley

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Lisa C LindleyCollege of Nursing, University of Tennessee, Knoxville, Tennessee, USA. Electronic address: llindley@utk.edu.
Knoxville College · US

Funding

An Examination of Hospice Use Among ChildrenK01NR014490 · NINR · UNIVERSITY OF TENNESSEE KNOXVILLE · PI LINDLEY, LISA C. · 2013 to 2015
$279k
NINR NIH HHS K01 NR014490
6 · The paper itself

Abstract

contextCalifornia implemented pediatric palliative care legislations that allowed children to receive curative and supportive care from diagnosis of a life-threatening serious illness in 2010. Palliative care policies may improve access to hospice care as children near end of life.

objectivesThe aim of this study was to examine the effect of the palliative care policy on hospice utilization for children and their families was investigated.

methodsUsing 2007 and 2010 California Medicaid data, a difference-in-difference analysis was conducted to analyze hospice use (i.e., hospice enrollment, hospice length of stay) changes for children who resided in pediatric policy counties relative to those who did not. The sample of children in California who died with a life-threatening serious illness in 2007 and 2010 equaled 979 children.

resultsMore than 10% of children enrolled in hospice care with an average of less than 3 days of hospice care. The palliative care policy did not have any effect on hospice enrollment. However, the policy was positively associated with increasing days in hospice care (incidence rate ratio = 5.61, P < 0.05). The rate of hospice length of stay increased by a factor of 5.61 for children in palliative care counties compared with children unaffected by the policy.

conclusionThe pediatric palliative care policy was associated with longer lengths of stay in hospice once the children were enrolled. Policies promoting palliative care are critical to ensuring access to hospice care for children.

Indexed as

Health PolicyHospice CareMedicaidPalliative CareAdolescentCaliforniaChildChild, PreschoolFemaleHospicesHumansInfantLength of StayMaleUnited StatesYoung AdultAndersen behavioral modelMedicaidPediatric hospice utilizationpediatric palliative care policy

Identifiers

PMID27693902
PMCPMC5107325
OpenAlexW2523903632

What OpenQuestion holds

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Registered trials

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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.