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Differential utilization of hospice services in nursing homes
Author(s)Bent Jones, Larry Nackerud, David Boyle
Journal titleThe Hospice Journal, vol 12, no 3, 1997
Pagespp 41-58
SourceHaworth Document Delivery Center, The Haworth Press, Inc., 10 Alice Street, Binghamton, NY 13904-1580, USA.
KeywordsDying ; Terminal care ; Admission [nursing homes] ; Attitudes to the old of general public ; United States of America.
AnnotationThe differences in the rates of dying patients using hospice services between nursing homes were examined during the course of an evaluation project. Rates were found to vary between 2% to 29% in 23 nursing homes owned by one company. Twenty of the 23 administrators responded to a survey regarding attitudes toward hospice care in the nursing home. Nursing homes with administrators most sympathetic to hospice care had rates three times higher than nursing homes with administrators least sympathetic. Specific concerns were discussed in interviews with four of the least sympathetic administrators. The findings are congruent with programme implementation theory, which describes the discretionary power of local administrators to limit access to new programmes that they find problematic. (RH).
Accession NumberCPA-971209222 B
ClassmarkCX: LV: LHB:QKH: TOB: 7T

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