Differences in Caregiver Reports of the Quality of Hospice Care Across Settings.
Aged
Aged, 80 and over
Assisted Living Facilities
/ statistics & numerical data
Caregivers
/ statistics & numerical data
Communication
Family
Female
Home Care Services
/ statistics & numerical data
Hospice Care
/ statistics & numerical data
Hospitals
/ statistics & numerical data
Humans
Male
Nursing Homes
/ statistics & numerical data
Patient Satisfaction
Quality Indicators, Health Care
/ statistics & numerical data
Surveys and Questionnaires
care setting
experience of care
hospice
nursing home
survey
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
08
11
2019
revised:
10
01
2020
accepted:
13
01
2020
pubmed:
11
2
2020
medline:
3
3
2021
entrez:
11
2
2020
Statut:
ppublish
Résumé
To examine variation in reported experiences with hospice care by setting. Consumer Assessment of Healthcare Providers and Systems Hospice (CAHPS®) Survey data from 2016 were analyzed. Multivariate linear regression analysis was used to examine differences in measure scores by setting of care (home, nursing home [NH], hospital, freestanding hospice inpatient unit [IPU], and assisted living facility [ALF]). A total of 2636 US hospices. A total of 311 635 primary caregivers of patients who died in hospice. Outcomes were seven hospice quality measures, including five composite measures that assess aspects of hospice care important to patients and families, including hospice team communication, timeliness of care, treating family member with respect, symptom management, and emotional and spiritual support, and two global measures of the overall rating of the hospice and willingness to recommend it to friends and family. Analyses were adjusted for mode of survey administration and differences in case-mix between hospices. Caregivers of decedents who received hospice care in a NH reported significantly worse experiences than caregivers of those in the home for all measures. ALF scores were also significantly lower than home for all measures, except providing emotional and spiritual support. Differences in NH and ALF settings compared to home were particularly large for hospice team communication (ranging from -11 to -12 on a 0-100 scale) and getting help for symptoms (ranging from -7 to -10). Consistently across all care settings, hospice team communication, treating family member with respect, and providing emotional and spiritual support were most strongly associated with overall rating of care. Important opportunities exist to improve quality of hospice care in NHs and ALFs. Quality improvement and regulatory interventions targeting the NH and ALF settings are needed to ensure that all hospice decedents and their family receive high-quality, patient- and family-centered hospice care. J Am Geriatr Soc 68:1218-1225, 2020.
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1218-1225Informations de copyright
© 2020 The American Geriatrics Society.
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