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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Hospitals-II00:59

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Health Information Technology (HIT)
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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Related Experiment Video

Updated: Nov 30, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Hospice inpatient services provision, utilization, and financial performance.

Mengying He, Stephen J O'Connor, Haiyan Qu

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    Providing hospice inpatient services impacts length of stay and financial performance. Offering these services directly decreased average length of stay and total operating margin.

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    Area of Science:

    • Healthcare Management
    • Health Services Research
    • Palliative Care

    Background:

    • Hospice performance measurement is challenging due to quality assessment difficulties and infrequent inspections.
    • Inpatient services provision can affect hospice length of stay (LOS) and financial outcomes based on daily reimbursement.
    • Understanding the link between inpatient services and hospice performance is crucial for quality improvement.

    Purpose of the Study:

    • To investigate the relationship between the provision of hospice inpatient services and hospice utilization.
    • To explore the association between hospice inpatient services and financial performance.

    Main Methods:

    • Utilized a longitudinal secondary dataset from 2009-2013, merging data from Hospice Cost Reports, Provider of Services files, and Area Health Resources Files.
    • Employed mixed-effects regression models for multivariate analyses.
    • Dependent variables included average hospice length of stay (LOS) and financial performance (total operating margin [TOM], return on assets). The independent variable was hospice inpatient services offering.

    Main Results:

    • Hospices offering inpatient services directly by staff showed a negative association with average LOS (b = -0.063, p < .05) and TOM (b = -0.022, p < .05).
    • The combined approach of providing inpatient services by staff and under arrangement was negatively associated with return on assets (b = -0.073, p < .05).

    Conclusions:

    • Hospice inpatient services provision is significantly associated with both average LOS and financial performance.
    • Direct provision of inpatient services by hospice staff appears to reduce LOS and TOM, suggesting potential financial implications for hospice agencies.