ArticleJournal of the American Geriatrics Society2017
Variation in Hospice Services by Location of Care: Nursing Home Versus Assisted Living Facility Versus Home.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021Pooled it
- Duration of palliative care before death in international routine practice: a systematic review and meta-analysis.BMC medicine · 2020Pooled it
- Opportunities to Improve End-of-Life Care in Assisted Living: Results From a National Survey of Administrators.Journal of the American Medical Directors Association · 2026Article
- Delphi method validation of a tool for planning home visits in palliative care: palliative care parametrisation tool.Ecancermedicalscience · 2026Article
- Variation in Hospice Aide Care by Residential Setting.Journal of palliative medicine · 2024Article
- Hospice Aide Visits among Nursing Home Residents During the Early Months of the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2023Observational
- Defining a taxonomy of Medicare-funded home-based clinical care using claims data.BMC health services research · 2023Article
- Post-acute care transitions and outcomes among medicare beneficiaries in assisted living communities.Journal of the American Geriatrics Society · 2022Article
- Service Availability in Assisted Living and Other Community-Based Residential Settings at the End of Life.Journal of palliative medicine · 2021Article
- Organizational Characteristics of Assisted Living Communities With Policies Supportive of Admitting and Retaining Residents in Need of End-of-Life Care.The American journal of hospice & palliative care · 2021Article
- Family Caregiving at the End of Life and Hospice Use: A National Study of Medicare Beneficiaries.Journal of the American Geriatrics Society · 2020Article
- Differences of Quality in End-of-Life Care across Settings: Results from the U.S. National Health and Aging Trends Study of Medicare Beneficiaries.Journal of palliative medicine · 2020Article
- Using Telehealth for Hospice Reauthorization Visits: Results of a Quality Improvement Analysis.Journal of pain and symptom management · 2020Article
- Trends In Residential Setting And Hospice Use At The End Of Life For Medicare Decedents.Health affairs (Project Hope) · 2020Article
- Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home.Journal of the American Geriatrics Society · 2018Article
- Preference Importance Ratings among African American and White Nursing Home Residents.Clinical gerontologistArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo describe differences in hospice services for patients living at home, in nursing homes or in assisted living facilities, including the overall number and duration of visits by different hospice care providers across varying lengths of stay.
designRetrospective cohort study using hospice patient electronic medical record data.
settingLarge, national hospice provider.
participantsData from 32,605 hospice patients who received routine hospice care from 2009 to 2014 were analyzed. MEASUREMENTS: Descriptive statistics were calculated for utilization measures for each type of provider and by location of care. Frequency and duration of service contacts were standardized to a 1 week period and pairwise comparisons were used to detect differences in care provided between the three settings.
resultsMinimal differences were found in overall intensity of service contacts across settings, however, the mix of services were different for patients living at home versus nursing home versus assisted living facility. Overall, more nurse care was provided at the beginning and end of the hospice episode; intensity of aide care services was higher in the middle portion of the hospice episode. Nearly 43% of the sample had hospice stays less than 2 weeks and up to 20% had stays greater than 6 months.
conclusionThere are significant differences between characteristics of hospice patients in different settings, as well as the mix of services they receive. Medicare hospice payment methodology was revised starting in 2016. While the new payment structure is in greater alignment with the U shape distribution of services, it will be important to evaluate the impact of the new payment methodology on length of stay and mix of services by different providers across settings of care.
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.