The Medicare Hospice Benefit's Influence on Dying in Nursing Homes

Susan C. Miller, Vince Mor, Kristen Coppola, Joan Teno, Linda Laliberte, Ann C. Petrisek

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

For dying nursing home residents, the prevalence of symptoms and care utilization prior to death has yet to be empirically described for a population-based sample. Yet, related work has suggested that the quality of care for dying nursing home residents is less optimal. The provision of Medicare hospice care in nursing homes offers a means for improving terminal care in nursing homes. However, other than controversial findings emanating from the U.S. Office of Inspector General's (OIG's) hospice studies, there is a dearth of evaluative research on the comparative costs and the benefits of Medicare hospice care in nursing homes. In this article, we discuss current knowledge concerning the dying experience of nursing home residents and of the influence of the Medicare hospice benefit in nursing homes. In doing so, we critique the OIG's study of hospice care in nursing homes and we raise concerns regarding access to the Medicare hospice benefit in nursing homes. We conclude by delineating the research needed to more fully understand the dying experience of nursing home residents and the influence of Medicare hospice care provision on this experience.

Original languageEnglish (US)
Pages (from-to)367-376
Number of pages10
JournalJournal of palliative medicine
Volume1
Issue number4
DOIs
StatePublished - Dec 1 1998

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine

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    Miller, S. C., Mor, V., Coppola, K., Teno, J., Laliberte, L., & Petrisek, A. C. (1998). The Medicare Hospice Benefit's Influence on Dying in Nursing Homes. Journal of palliative medicine, 1(4), 367-376. https://doi.org/10.1089/jpm.1998.1.367