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Palliative Care

Journal Article
The Medicare Hospice Payment System: A Consideration of Potential Refinements
The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice.
Jan 1, 2009
Journal Article
Demographic and Social Characteristics and Spending at the End of Life
In the United States and abroad, the aging of the population and changes in its demographic and social composition raise important considerations for the future of health care and the systems that pay for care.
Jan 1, 2009
Journal Article
Heart Failure: The Hidden Problem of Pain
Although dyspnea and fatigue are hallmark symptoms of heart failure (HF), the burden of pain may be underrecognized. This study assessed pain in HF and identified contributing factors.
Jan 1, 2009
Journal Article
Hospice and Emergency Room Use by Disadvantaged Men Dying of Prostate Cancer
Hospice care has been found to improve symptom management, quality of death and quality of life at the end of life.
Jan 1, 2009
Journal Article
A Framework for Assessing Quality Indicators for Cancer Care at the End of Life
Patients with advanced cancer often do not receive high-quality pain and symptom management or support with coordination of care, communication, and decisionmaking. Posits a conceptual framework for quality indicator development and implementation.
Jan 1, 2009
Report
The potential cost savings of greater use of home- and hospice- based end of life care in England
Expansion of home/community end of life services can reduce acute care costs and benefit patients by accommodating expressed preferences on place of death.
Nov 29, 2008
Journal Article
Paying the Price at the End of Life: A Consideration of Factors That Affect the Profitability of Hospice
Evaluates factors that affect the financial performance of hospice.
Sep 1, 2008
Project
ACOVE: Health Indicators Address Quality of Care in Older Adults
Vulnerable elders receive on average only half of recommended care; for conditions that affect primarily the elderly, they receive appropriate care less than one-third of the time. Interventions based on ACOVE indicators can improve the care physicians provide to older adults.
Feb 15, 2008
Journal Article
Age and Gender Differences in Medicare Expenditures and Service Utilization at the End of Life for Lung Cancer Decedents
Gender disparities in expenditures are generally small at the end of life for lung cancer decedents. The bigger observed differences are by age. Higher expenditures for women on social-supportive services may reflect fewer informal supports.
Jan 1, 2008
Journal Article
Evidence for Improving Palliative Care at the End of Life: A Systematic Review
Assesses evidence about interventions to improve palliative and end-of-life care.
Jan 1, 2008
Journal Article
A Systematic Review of Satisfaction with Care at the End of Life
More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation.
Jan 1, 2008
Journal Article
Improving Generalist End of Life Care: National Consultation with Practitioners, Commissioners, Academics, and Service User Groups
Definitions of end of life care need clarification and standardisation. A greater evidence base is needed to define models of good practice together with a commitment to provide education and training and adequate resources for service provision. More needs to be known about the context of provision and the influence of competing priorities and incentives.
Jan 1, 2008
Journal Article
Evidence-based Recommendations for Information and Care Planning in Cancer Care
Domains of information and care planning for high-quality cancer care include integration of palliation, advance care planning, sentinel events as markers for the need to readdress a patient's goals of care, and continuity of care planning.
Jan 1, 2008
Journal Article
Medicare HMO Impact on Utilization at the End of Life
Medicare beneficiaries who died while enrolled in independent practice association model HMOs, including the Kaiser model, had many fewer hospital days during the two years before death than beneficiaries who died with fee-for-service coverage.
Jan 1, 2008
Journal Article
Progress in Quality-of-Care Research and Hope for Supportive Cancer Care
Examines progress in supportive cancer care, which encompasses direct and treatment-related impacts of cancer, including management of pain and other symptoms, and the psychosocial context, including spirituality and challenges of caregiving.
Jan 1, 2008
Journal Article
Promoting Efficiency and Quality of Care in the Hummer Health Care System
Cancer care cost taxpayers in the United States approximately $72 billion in 2004, but evidence of reductions in cancer pain is lacking. Care should succeed in improving quality as well as quantity of life, but inefficient care will be unsustainable.
Jan 1, 2008
Journal Article
Getting Services Right for Those Sick Enough to Die
Most people believe their lives will be relatively healthy, punctuated by episodes of illness that last no more than a few weeks.
Jan 1, 2007
Journal Article
The New York City Palliative Care Quality Improvement Collaborative
Care for persons living with fatal chronic conditions is expensive and challenging, and can be unreliable.
Jan 1, 2007
Journal Article
Ensuring Palliative Medicine Availability: The Development of the IAHPC List of Essential Medicines for Palliative Care
IAHPC developed a List of Essential Medicines for Palliative Care based on the consensus of palliative care workers from around the world.
Jan 1, 2007
Journal Article
Quality Indicators for Palliative and End-of-Life Care in Vulnerable Elders
The literature summaries that support each indicator judged valid by the expert panel are described.
Jan 1, 2007

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RAND Health Care