scholarly journals Racial Differences in Health Care Transitions and Hospice Use at the End of Life

2019 ◽  
Vol 22 (6) ◽  
pp. 619-627 ◽  
Author(s):  
Shi-Yi Wang ◽  
Sylvia H. Hsu ◽  
Melissa D. Aldridge ◽  
Emily Cherlin ◽  
Elizabeth Bradley
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Racial Differences ◽  
Care Transitions ◽  
Hospice Use ◽  
Health Care Transitions

Use of Nonpalliative Medications Following Burdensome Health Care Transitions in Hospice Patients

Medical Care ◽  
2019 ◽  
Vol 57 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Patrick M. Zueger ◽  
Holly M. Holmes ◽  
Dima M. Qato ◽  
A. Simon Pickard ◽  
Gregory S. Calip ◽  
...  
Keyword(s):  
Health Care ◽  
Care Transitions ◽  
Hospice Patients ◽  
Health Care Transitions

scholarly journals End-of-Life Care for Older Patients With Ovarian Cancer Is Intensive Despite High Rates of Hospice Use

2014 ◽  
Vol 32 (31) ◽  
pp. 3534-3539 ◽  
Author(s):  
Alexi A. Wright ◽  
Laura A. Hatfield ◽  
Craig C. Earle ◽  
Nancy L. Keating
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Medical Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Emergency Department Visits ◽  
Life Care ◽  
Hospice Use ◽  
Over Time

Purpose To date, few studies have examined end-of-life care for patients with ovarian cancer. One study documented increased hospice use among older patients with ovarian cancer from 2000 to 2005. We sought to determine whether increased hospice use was associated with less-intensive end-of-life medical care. Patients and Methods We identified 6,956 individuals age ≥ 66 years living in SEER areas who were enrolled in fee-for-service Medicare, diagnosed with epithelial ovarian cancer between 1997 and 2007, and died as a result of ovarian cancer by December 2007. We examined changes in medical care during patients' last month of life over time. Results Between 1997 and 2007, hospice use increased significantly, and terminal hospitalizations decreased (both P < .001). However, during this time, we also observed statistically significant increases in intensive care unit admissions, hospitalizations, repeated emergency department visits, and health care transitions (all P ≤ .01). In addition, the proportion of patients referred to hospice from inpatient settings rose over time (P = .001). Inpatients referred to hospice were more likely to enroll in hospice within 3 days of death than outpatients (adjusted odds ratio, 1.36; 95% CI, 1.12 to 1.66). Conclusion Older women with ovarian cancer were more likely to receive hospice services near death and less likely to die in a hospital in 2007 compared with earlier years. Despite this, use of hospital-based services increased over time, and patients underwent more transitions among health care settings near death, suggesting that the increasing use of hospice did not offset intensive end-of-life care.

Health Care Transitions and the Aging Population

2011 ◽  
Vol 30 (2) ◽  
pp. 96-117 ◽  
Author(s):  
Dianne Morrow Ross ◽  
Bernardo Ramirez ◽  
Timothy Rotarius ◽  
Aaron Liberman
Keyword(s):  
Health Care ◽  
Care Transitions ◽  
Aging Population ◽  
Health Care Transitions

852-P: Improving the Quality of Health Care Transitions for Young Adults at an Adult Endocrinology Clinic

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 852-P
Author(s):  
MATTHEW P. GILBERT ◽  
STEPHEN G. DEVOE ◽  
AMANDA G. KENNEDY ◽  
MONICA OGELBY ◽  
ALYSSA CONSIGLI ◽  
...  
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Quality Of Health Care ◽  
Care Transitions ◽  
Health Care Transitions ◽  
Endocrinology Clinic
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