Abstract:
OBJECTIVES:Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey. RESULTS:We examined the receipt of unreimbursed care using the 1998 National Home and Hospice Care Survey (NHHCS) discharge dataset. Overall, only 3% of hospice patients received unreimbursed care. Because 98% of older adults are eligible for Medicare, we stratified multivariate analysis on age greater or less than 65 years. Among persons less than 65 years of age, younger, nonwhite persons were more likely to receive unreimbursed care, as were persons with cancer. Agencies providing unreimbursed care to persons over the age of 65 years were more likely to be not-for-profit and freestanding. CONCLUSION:Recipients of unreimbursed hospice care are demographically similar to the uninsured, and whether uninsured persons receive unreimbursed hospice care depends on clinical and agency organizational factors related to the motivation to provide unreimbursed care.
journal_name
J Palliat Medjournal_title
Journal of palliative medicineauthors
Lorenz KA,Rosenfeld KE,Asch SM,Ettner SLdoi
10.1089/109662103768253696subject
Has Abstractpub_date
2003-08-01 00:00:00pages
585-91issue
4eissn
1096-6218issn
1557-7740journal_volume
6pub_type
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pub_type: 杂志文章,评审
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更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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更新日期:2002-02-01 00:00:00
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pub_type: 共识发展会议,杂志文章
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