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Hospice in nursing homes: a facility level analysis of the distribution of hospice beneficiaries
Author(s)Ann C Petrisek, Vincent Mor
Journal titleThe Gerontologist, vol 39, no 3, June 1999
Pagespp 279-290
KeywordsTerminal care ; Nursing homes ; Social security benefits ; United States of America.
AnnotationSince 1989, the Medicare hospice benefit has been available to terminally ill individuals residing in nursing homes. This paper outlines the evolution and nature of hospice care for nursing home residents. Using a recent On-line Survey and Certification of Automated Records data on a national sample of Medicare/Medicaid certified nursing homes, merged with hospice Provider of Service and Area Resource File information, it goes on to examine the distribution of hospice beneficiaries in nursing homes. Bivariate analyses provide descriptive comparisons of homes with 0%, 0.1-4.9%, and 5% residents on the hospice benefit. Multinominal (i.e. multinomial) logistic regression reveals the influence of organisational, market, and environmental factors on the proportion of beneficiaries in nursing homes. Results indicate that significant numbers of homes have hospice patients and that these institutions may have strong incentives to convert residents to the Medicare hospice benefit. (AKM).
Accession NumberCPA-990826289 A
ClassmarkLV: LHB: JH: 7T

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