Association Between Nursing Visits and Hospital-Related Disenrollment in the Home Hospice Population
| Autor: | Clara Oromendia, Erika L. Abramson, Ronald D. Adelman, Kelly M. Trevino, Veerawat Phongtankuel, M. C. Reid, Phyllis Johnson, Charles Henderson |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Population Nurses Community Health Medicare Article Young Adult 03 medical and health sciences Nursing care 0302 clinical medicine Nursing medicine Humans 030212 general & internal medicine education Hospice care Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Retrospective cohort study General Medicine Middle Aged Home Care Services United States Hospitalization Hospice Care Socioeconomic Factors 030220 oncology & carcinogenesis Family medicine Emergency medicine Medicare Hospice Female business Home Hospice |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 35:316-323 |
| ISSN: | 1938-2715 1049-9091 |
| DOI: | 10.1177/1049909117697933 |
| Popis: | Background: Over 10% of hospice patients experience a transition out of hospice care during the last months of life. Hospice transitions from home to hospital (ie, hospital-related hospice disenrollment) result in fragmented care, which can be burdensome for patients and caregivers. Nurses play a major role in delivering home hospice care, yet little is known about the association between nursing visits and disenrollment. Objectives: The study’s purpose is to examine the association between the average number of nursing visits per week and hospital-related disenrollment in the home hospice population. We hypothesize that more nursing visits per week will be associated with reduced odds for disenrollment. Design: A retrospective cohort study using Medicare data. Participants: Medicare hospice beneficiaries who were ≥18 years old in 2012. Outcome measured: Hospitalization within 2 days of hospice disenrollment. Results: The sample included 115 103 home hospice patients, 6450 (5.6%) of whom experienced a hospital-related disenrollment. The median number of nursing visits per week was 2 (interquartile range 1.3-3.2), with a mean of 2.5 (standard deviation ±1.6). There was a decreased likelihood of a hospital-related disenrollment when comparing enrollments that had Conclusions: More nursing visits per week was associated with a decreased likelihood of a hospital-related hospice disenrollment. Further research is needed to understand what components of nursing care influence care transitions in the home hospice setting. |
| Databáze: | OpenAIRE |
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