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Improving Policy and Practices of Hospice Live Discharge: A Historical Exploration of the Medicare Hospice Benefit.
Wallace, Cara L; Wladkowski, Stephanie P.
Afiliación
  • Wallace CL; Trudy Busch Valentine School of Nursing, Saint Louis University, Saint Louis, MO, USA.
  • Wladkowski SP; Social Work, Health & Human Services, Bowling Green State University, Bowling Green, Ohio, USA.
J Aging Soc Policy ; : 1-16, 2023 Dec 01.
Article en En | MEDLINE | ID: mdl-38037716
Hospice serves 1.72 million people a year, of which 15.4% are discharged alive, a process impacted by policy.Live discharges are disruptive for patients, families, clinicians, and agencies, but little guidance exists in policy.Policy changes focus on minimizing fraud related to long-lengths of stay, which disproportionately occur for chronic illnesses where six-month prognostication is a challenge.Changes to hospice policy do not account for growing incidents of chronic illness, even though the policy was originally created for cancer patients, the primary cause of death at that time.Understanding policy connections to hospice live discharge is pertinent to identifying solutions for improvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Aging Soc Policy Asunto de la revista: GERIATRIA / SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Aging Soc Policy Asunto de la revista: GERIATRIA / SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido