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     <title>RAND Research Topic: Hospice Care</title>
     <link rel="self" href="http://www.rand.org/topics/hospice-care.xml"/>
     <updated>2012-05-24T14:56:48Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/hospice-care.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/hospice-care.html</id>
	 
 <entry>
   <title type="html">Development of a Prognostic Model for Six-Month Mortality in Older Adults with Declining Health</title>
   <id>http://www.rand.org/pubs/external_publications/EP20120057.html</id>
   <published>Mar 1, 2012</published>
   <updated>Mar 1, 2012</updated>
   <summary type="html">This study seeks to develop a new prognostic model, the Patient-Reported Outcome Mortality Prediction Tool (PROMPT), for six-month mortality in community-dwelling elderly patients.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20120057.html" />
   
 </entry>
 
 <entry>
   <title type="html">Hospice Use and High-Intensity Care in Men Dying of Prostate Cancer</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100125.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">This study assessed hospice use by men dying of prostate cancer and compared the use of high-intensity care between those who did or did not enroll in hospice. Those who enroll in hospice are less likely to receive high-intensity end-of-life care.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100125.html" />
   
 </entry>
 
 <entry>
   <title type="html">The Medicare Hospice Payment System: A Consideration of Potential Refinements</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090626.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare&apos;s per diem payment system for hospice.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090626.html" />
   
 </entry>
 
 <entry>
   <title type="html">Hospice and Emergency Room Use By Disadvantaged Men Dying of Prostate Cancer</title>
   <id>http://www.rand.org/pubs/external_publications/EP20090503.html</id>
   <published>Dec 31, 2008</published>
   <updated>Dec 31, 2008</updated>
   <summary type="html">&lt;p&gt;Hospice care has been found to improve symptom management, quality of death and quality of life at the end of life.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20090503.html" />
   
 </entry>
 
 <entry>
   <title type="html">The potential cost savings of greater use of home- and hospice- based end of life care in England</title>
   <id>http://www.rand.org/pubs/technical_reports/TR642.html</id>
   <published>Nov 29, 2008</published>
   <updated>Nov 29, 2008</updated>
   <summary type="html">&lt;p&gt;Expansion of home/community end of life services can reduce acute care costs and benefit patients by accommodating expressed preferences on place of death.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/technical_reports/TR642.html" />
   
 </entry>
 
 <entry>
   <title type="html">Paying the Price at the End of Life: A Consideration of Factors That Affect the Profitability of Hospice</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080920.html</id>
   <published>Aug 31, 2008</published>
   <updated>Aug 31, 2008</updated>
   <summary type="html">Evaluates factors that affect the financial performance of hospice.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080920.html" />
   
 </entry>
 
 <entry>
   <title type="html">A Systematic Review of Satisfaction with Care at the End of Life</title>
   <id>http://www.rand.org/pubs/external_publications/EP20080111.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20080111.html" />
   
 </entry>
 
 <entry>
   <title type="html">Quality Measures for Symptoms and Advance Care Planning in Cancer: A Systematic Review</title>
   <id>http://www.rand.org/pubs/reprints/RP1263.html</id>
   <published>Dec 31, 2005</published>
   <updated>Dec 31, 2005</updated>
   <summary type="html">Uses a literature search to identify quality measures for palliative cancer care and the evidence to support their use in pain, dyspnea, depression, and advance care planning, and to ascertain research gaps.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/reprints/RP1263.html" />
   
 </entry>
 
 <entry>
   <title type="html">The 2004 Presidential Candidates&apos; Platforms on Serious Chronic Illness and Palliative Care</title>
   <id>http://www.rand.org/pubs/external_publications/EP20040219.html</id>
   <published>Dec 31, 2003</published>
   <updated>Dec 31, 2003</updated>
   <summary type="html">&lt;p&gt;The authors summarize the relevant parts of each Democratic presidential candidates platform, along with President Bushs stance, as posted on their web sites before October 28, 2003. They include a broad array of issues relevant to those living with serious chronic illness at the end of life, such as home care, pain management, and nursing home care, as well as hospice and palliative care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20040219.html" />
   
 </entry>
 
 <entry>
   <title type="html">Accommodating Ethnic Diversity: A Study of California Hospice Programs</title>
   <id>http://www.rand.org/pubs/external_publications/EP20040911.html</id>
   <published>Dec 31, 2003</published>
   <updated>Dec 31, 2003</updated>
   <summary type="html">&lt;p&gt;Studies have confirmed ethnic disparities in the use of hospice services and identified barriers that minorities face in accessing care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20040911.html" />
   
 </entry>
 
 <entry>
   <title type="html">Medicare Program Expenditures Associated with Hospice Use</title>
   <id>http://www.rand.org/pubs/external_publications/EP20040207.html</id>
   <published>Dec 31, 2003</published>
   <updated>Dec 31, 2003</updated>
   <summary type="html">&lt;p&gt;Hospice enrollment correlates with reduced Medicare expenditures among younger decedents with cancer but increased expenditures among decedents without cancer and those older than 84 years of age. Future studies should assess the effects of hospice on quality and on expenditures from all payment sources.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20040207.html" />
   
 </entry>
 
 <entry>
   <title type="html">Charity for the Dying: Who Receives Unreimbursed Hospice Care?</title>
   <id>http://www.rand.org/pubs/external_publications/EP20030814.html</id>
   <published>Dec 31, 2002</published>
   <updated>Dec 31, 2002</updated>
   <summary type="html">&lt;p&gt;Many deaths occur among persons without insurance coverage for hospice care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20030814.html" />
   
 </entry>
 
 <entry>
   <title type="html">Cash and Compassion: Profit Status and the Delivery of Hospice Services</title>
   <id>http://www.rand.org/pubs/external_publications/EP20020812.html</id>
   <published>Dec 31, 2001</published>
   <updated>Dec 31, 2001</updated>
   <summary type="html">&lt;p&gt;To evaluate the relationship of hospice profit status to patient selection and service delivery.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20020812.html" />
   
 </entry>
 
 <entry>
   <title type="html">Serving Patients Who May Die Soon and Their Families: The Role of Hospice and Other Services</title>
   <id>http://www.rand.org/pubs/external_publications/EP20010202.html</id>
   <published>Dec 31, 2000</published>
   <updated>Dec 31, 2000</updated>
   <summary type="html">&lt;p&gt;The case story of a 47-year-old man with advanced rectal carcinoma illustrates the professional services and care system strategies available to help clinicians serve patients coming to the end of life.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20010202.html" />
   
 </entry>
 
 <entry>
   <title type="html">Family Satisfaction with End-of-Life Care in Seriously Ill Hospitalized Adults</title>
   <id>http://www.rand.org/pubs/external_publications/EP20000519.html</id>
   <published>Dec 31, 1999</published>
   <updated>Dec 31, 1999</updated>
   <summary type="html">&lt;p&gt;Satisfaction scores suggest the need for improvement in end-of-life care, especially in communication and decision-making. Further research is needed to understand how factors affect satisfaction with end-of-life care. An intervention like that used in SUPPORT may help family members.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20000519.html" />
   
 </entry>
 
 <entry>
   <title type="html">Elderly Persons&apos; Last Six Months of Life: Findings from the Hospitalized Elderly Longitudinal Project</title>
   <id>http://www.rand.org/pubs/external_publications/EP20000532.html</id>
   <published>Dec 31, 1999</published>
   <updated>Dec 31, 1999</updated>
   <summary type="html">&lt;p&gt;Few studies describe the end of life in very old people.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20000532.html" />
   
 </entry>
 
 <entry>
   <title type="html">Survival of Medicare Patients After Enrollment in Hospice Programs</title>
   <id>http://www.rand.org/pubs/external_publications/EP19960706.html</id>
   <published>Dec 31, 1995</published>
   <updated>Dec 31, 1995</updated>
   <summary type="html">&lt;p&gt;Each year more than 220,000 Medicare beneficiaries receive care from hospice programs designed to enhance the quality of the end of life.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP19960706.html" />
   
 </entry>
 
 <entry>
   <title type="html">A Randomised Controlled Trial of Hospice Care</title>
   <id>http://www.rand.org/pubs/external_publications/EP19840401.html</id>
   <published>Dec 31, 1983</published>
   <updated>Dec 31, 1983</updated>
   <summary type="html">&lt;p&gt;Terminally ill cancer patients at a Veterans Administration hospital were randomly assigned to receive hospice or conventional care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP19840401.html" />
   
 </entry>
 
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