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American Journal of Hospice and Palliative Medicine®
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*Home Care Services
*Nursing Homes
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Characteristics of Patients Receiving Hospice Care at Home Versus in Nursing Homes: Results From the National Home and Hospice Care Survey and the National Nursing Home Survey

Beth Han, MD, PhD, MPH

US Department of Health and Human Services, Rockville, Maryland, beth.han{at}samhsa.hhs.gov

Ronald B. Tiggle, PhD

US Department of Health and Human Services, Rockville, Maryland

Robin E. Remsburg, PhD

US Department of Health and Human Services, Rockville, Maryland

This study examined 1170 deceased home hospice patients from the 1998 National Home and Hospice Care Survey and 617 deceased nursing home hospice patients from the 1997 and 1999 National Nursing Home Surveys. T tests and Bonferroni adjustments for multiple comparisons were performed to assess differences in characteristics of patients receiving hospice care at home versus in nursing homes. We found that the nursing home hospice population differs significantly from the home hospice population in the United States. Nursing home hospice patients were more likely to be older, have Medicaid as their primary payment source, have dementia and other noncancer primary diagnosis, and receive dietary/nutrition service, medication management, and physician services than home hospice patients.

Key Words: hospice • patients receiving hospice care at home • patients receiving hospice care in nursing homes • hospice care in nursing homes • differences in characteristics of patients receiving hospice care at home versus in nursing homes

American Journal of Hospice and Palliative Medicine®, Vol. 24, No. 6, 479-486 (2008)
DOI: 10.1177/1049909107305654


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