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Hospice use by older adults knocking on the door of the nursing facility: implications for social work practice
Rosemary K Chapin1, Theresa Gordon, Sarah Landry
1School of Social Welfare, University of Kansas, Office of Aging and Long-Term Care, 1545 Lilac Lane, Lawrence, KS 66044, USA. rchapin@ku.edu
Abstract:
Since 1983, federal funding has been available for hospice services. However, research studies have found that hospice is underutilized by people with terminal illnesses and their families. Low-income older adults are particularly at risk for underutilization. This study examined utilization of hospice services by nursing home applicants in one Midwestern state. Characteristics of users and non-users, and potential barriers to hospice use were examined. Findings further document that hospice is underutilized, especially by the Medicaid population, and point to barriers to hospice utilization. Specific recommendations are made to help practitioners increase hospice access.
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