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Updated: Jun 28, 2025

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Jennifer M Reckrey1, Karen McKendrick1, R Sean Morrison1

  • 1Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Journal of Palliative Medicine
|April 22, 2024
PubMed
Summary
This summary is machine-generated.

Hospice aide visits were less common in community settings compared to assisted living and nursing homes. Factors influencing hospice aide use remained consistent across all residential settings, indicating a need for tailored care strategies.

Keywords:
end-of-life careformal caregivinghospicehospice aidenursing homeworkforce

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Area of Science:

  • Gerontology
  • Palliative Care
  • Health Services Research

Background:

  • Hospice care often involves direct support from hospice aides.
  • The utilization of hospice aide services may differ across various residential care settings like assisted living facilities and nursing homes.

Purpose of the Study:

  • To compare the frequency of hospice aide utilization across different residential settings.
  • To identify factors associated with hospice aide use in various residential care environments.

Main Methods:

  • A longitudinal cohort study utilizing data from the Medicare Current Beneficiary Survey (MCBS).
  • Analysis included Medicare beneficiaries who died between 2010 and 2019 with hospice claims and residential setting data (n=1,915).
  • Multivariable models were employed to examine associations between hospice aide visits and patient/hospice characteristics, controlling for setting.

Main Results:

  • Hospice aide visits were less frequent in community settings (64.4%) compared to assisted living (76.6%) and nursing homes (72.6%).
  • Factors associated with hospice aide utilization did not significantly vary across community, assisted living, or nursing home settings in adjusted analyses.
  • Despite existing hands-on support in facilities, hospice aide use was higher in residential settings versus community settings.

Conclusions:

  • Hospice aide utilization patterns differ by setting, with higher use in residential care compared to community settings.
  • The factors influencing the use of hospice aides appear consistent across different residential environments.
  • Further research is needed to optimize hospice aide integration and collaboration within diverse care settings to meet individual patient needs effectively.