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National hospice study analysis plan.

D S Greer, V Mor, S Sherwood

    Journal of Chronic Diseases
    |January 1, 1983
    PubMed
    Summary
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    The hospice care movement has rapidly expanded, prompting federal evaluation of its inclusion in Medicare. This study compares hospice care

    Area of Science:

    • Health Services Research
    • Palliative Care Medicine
    • Health Economics

    Background:

    • The number of hospice care organizations in the U.S. has significantly increased since 1974.
    • Federal interest in hospice services grew, leading to a mandated study on Medicare inclusion.
    • A demonstration program was initiated in 1980, with 26 selected hospices receiving special reimbursement.

    Purpose of the Study:

    • To evaluate the impact of hospice care on quality of life and costs.
    • To compare hospice care (with and without reimbursement) to conventional terminal care.
    • To provide data for future federal fiscal policy and legislation regarding hospice services.

    Main Methods:

    • A quasi-experimental design was employed for the national evaluation.

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  • 800 patients and families across 24 sites in three regions participated.
  • Data analysis involved standard linear and logistic multiple regression models.

    • Main Results:

    • Primary data collection commenced in August 1981.
    • The study aimed to analyze differential outcomes between hospice and conventional care.
    • Specific response variables for prototype hospice patients were estimated for each model.

    Conclusions:

    • The study provides a foundation for understanding hospice care's role in terminal illness.
    • Findings are intended to inform federal policy and legislation.
    • The evaluation focuses on the quality of life and cost-effectiveness of hospice services.