Evidence map›Paper›PMID 40932687›Full record

ArticleJournal of palliative medicine2026

Examining Public-Facing Hospice Medical Aid in Dying Participation Policies in Legalizing U.S. Jurisdictions.

Todd D Becker, Paul Duberstein, Elizabeth A Luth, Sanjana Kumar, Samuel Nemeth, Kira Phillips, Veda Kota, Elissa Kozlov

Abstract read
In one paragraph

Article in Journal of palliative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Todd D BeckerDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0003-4170-1412
Paul DubersteinDepartment of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.ORCID 0000-0001-6882-0898
Elizabeth A LuthDepartment of Family Medicine and Community Health, Rutgers University Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.ORCID 0000-0003-1496-1235
Sanjana KumarBrandeis University, Waltham, Massachusetts, USA.
Samuel NemethDepartment of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.ORCID 0009-0007-9090-0115
Kira PhillipsBrown University School of Public Health, Providence, Rhode Island, USA.
Veda KotaDepartment of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.
Elissa KozlovDepartment of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, New Jersey, USA.

Funding

Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
NCI NIH HHS T32 CA190194
6 · The paper itself

Abstract

backgroundNearly 9 in 10 patients in the United States who use medical aid in dying (MAID) are enrolled in hospice. Jurisdictions have increasingly mandated that health organizations publicly report their MAID participation policies. Yet comprehensive examination of the prevalence and characteristics of public-facing MAID policies in U.S. hospice providers is lacking.

objectiveThe objective of this study was to comprehensively characterize the availability and content of hospices' public-facing MAID participation policies in the 11 U.S. jurisdictions where MAID is legal.

designWe adopted a cross-sectional design. SETTING/SUBJECTS: We used the Centers for Medicare & Medicaid Services' Hospice - General Information data set to identify Medicare-certified hospices in all 11 U.S. jurisdictions where MAID is legal. MEASUREMENTS: Policy availability was assessed via the presence or absence of online hospice MAID participation policies. Policy content was extracted to identify and subsequently categorize clinical domains of MAID participation.

resultsOnly 39 of 724 hospices (5.4%) published a public-facing MAID participation policy. Policy availability was low even within the two jurisdictions mandating hospice online publication (0 of 52 from New Mexico [0.0%]; 14 of 389 from California [3.6%]). Moreover, even when published, policy content was highly variable and often too vague to discern which MAID-related activities were permitted. For instance, 18 of 39 policies (46.2%) did not report whether or not physicians were permitted to prescribe MAID medication.

conclusionsThe lack of availability and specificity in hospices' public-facing MAID participation policies may jeopardize patient access to legal end-of-life care options. Irrespective of jurisdictional mandates, greater organizational transparency is needed to support informed decision making.

Indexed as

Health PolicyHospice CareHospicesSuicide, AssistedCross-Sectional StudiesHumansUnited Stateshospicemedical aid in dyingpolicy

Identifiers

PMID40932687
PMCPMC12554623

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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.