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In: The Springer series on death and suicide
In: Springer series on ethics, law, and aging
In: The Springer series on death and suicide v. 8
In: Social science journal: official journal of the Western Social Science Association, Band 38, Heft 3, S. 461-467
ISSN: 0362-3319
The last days of life for a substantial proportion of dying older adults are spent in nursing homes. Considering this, the provision of Medicare hospice care in nursing homes would appear to be an equitable use of Medicare expenditures as well as a valid investment in improving the quality of life for dying nursing home residents. However, government concerns regarding possible abuse of the hospice benefit in nursing homes, as well as suggestion that the payment for the benefit in nursing homes may be excessive, has perhaps slowed the adoption of hospice services into the nursing home setting. Currently, access to hospice care in nursing homes is inequitable across facilities, and across geographic areas. In nursing homes where hospice is available and present, however, recent research documents superior outcomes for residents enrolled in hospice, and perhaps for nonhospice residents. Still, more research is needed, particularly research focusing on the government costs associated with the provision of hospice care in nursing homes. If subsequent research continues to support the "added value" of hospice care in nursing homes and at the same or less total costs, the issue of foremost concern becomes how equitable access to Medicare hospice care in nursing homes can be achieved. Access may be increased to some extent by changing government policies, and conflicting regulations and interpretive guidelines, so they support and encourage the nursing home/hospice collaboration.
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In: Social work in health care: the journal of health care social work ; a quarterly journal adopted by the Society for Social Work Leadership in Health Care, Band 13, Heft 3, S. 3-19
ISSN: 1541-034X
In: Smith College studies in social work, Band 73, Heft 3, S. 377-384
ISSN: 1553-0426
In: Avebury series in philosophy
In: Special care in dentistry: SCD, Band 23, Heft 3, S. 84-85
ISSN: 1754-4505
In: Health & social work: a journal of the National Association of Social Workers, Band 10, Heft 2, S. 159-160
ISSN: 1545-6854