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Am J Hosp Palliat Care · Sep 2013
Medical manuscripts impact of hospice enrollment on cost and length of stay of a terminal admission.
- Michelle T Weckmann, Katherine Freund, Camden Bay, and Ann Broderick.
- Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. michelle-weckmann@uiowa.edu
- Am J Hosp Palliat Care. 2013 Sep 1; 30 (6): 576-8.
ObjectiveTo determine whether hospice enrollment at the time of a terminal admission alters the length of stay (LOS) or costs compared with patients not enrolled in hospice.MethodsRetrospective chart review of all nontraumatic inpatient deaths of patients with a previous admission in the preceding 12 months at an academic hospital.Results209 patients had a nontraumatic death and an admission in the year prior to the terminal admission. Patients enrolled in hospice had a shorter LOS (P = .02) and lower cost (P < .0001) than patients not enrolled at the time of their terminal admission.ConclusionsEnrollment in hospice during a terminal admission decreased cost and LOS. Hospice may be a way to provide more cost-effective, appropriate care to dying patients.
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