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Incorporating Patient Preferences in Practice Guidelines

JAMA Study on End-of-Life Care Shows Increase in Hospice Use and Aggressive Care

February 6, 2013/in Cancer News Access to Care, Health Care Coverage, Palliative Care, Quality Cancer Care NCCS News

A study published today in the Journal of the American Medical Association examined changes in end-of-life care for Medicare beneficiaries from 2000 to 2009. The study authors reported an increase in the use of hospice care, particularly for cancer patients, but also an increase in ICU usage, health care transitions in the last 90 days of life, and referrals to hospice care in the last three days of life. In an accompanying editorial, Drs. Grace Jenq and Mary Tinetti noted that “The increased availability of palliative and hospice care services does not appear to have changed the focus on aggressive, curative care. Hospice services appeared to be tagged on to the last days of life.” In an interview with POLITICO, study author Dr. Joan Teno said, ““We are not getting the right care to the right people. And if we want to improve care, we’ve got to change the incentives — and publicly report the quality of care [for the dying].”

Read the JAMA Study Online >> 

Tags: end of life, hospice, Medicare
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  • About
    • Our Mission
    • Our History
    • The 1986 Club
    • Our Team
      • Policy Advisors
    • Employment
    • Partnerships
    • Financial Information
  • Policy
    • Quality Cancer Care
    • Access to Care
    • Health Equity
    • Redefining Functional Status (RFS)
    • State of Survivorship Survey
      • 2022 Survey
      • 2021 Survey
      • 2020 Survey
    • Cancer Care Planning and Communications Act (CCPCA)
  • Get Involved
    • What is Advocacy?
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    • Advocate Engagement Opportunities
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    • Subscribe to NCCS Updates
    • Elevating Survivorship
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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

—Karen M. Saunders
President, Northeast Regional Cancer Institute