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Impact of inpatient palliative care ...
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Horton, Jay R.
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Impact of inpatient palliative care on treatment intensity for patients with serious illness.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Impact of inpatient palliative care on treatment intensity for patients with serious illness./
作者:
Horton, Jay R.
面頁冊數:
140 p.
附註:
Source: Dissertation Abstracts International, Volume: 75-10(E), Section: B.
Contained By:
Dissertation Abstracts International75-10B(E).
標題:
Nursing. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3581334
ISBN:
9781321124941
Impact of inpatient palliative care on treatment intensity for patients with serious illness.
Horton, Jay R.
Impact of inpatient palliative care on treatment intensity for patients with serious illness.
- 140 p.
Source: Dissertation Abstracts International, Volume: 75-10(E), Section: B.
Thesis (Ph.D.)--New York University, 2014.
This item must not be sold to any third party vendors.
Many chronically ill older adults experience long stays in the intensive care unit (ICU) and are referred to hospice late in the course of their disease. Palliative care has been associated with decreased ICU length of stay (LOS) and increased hospice LOS, but prior studies have been limited to small numbers of hospitals and have not been able to account for differences between hospitals with and without palliative care.
ISBN: 9781321124941Subjects--Topical Terms:
528444
Nursing.
Impact of inpatient palliative care on treatment intensity for patients with serious illness.
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Thesis (Ph.D.)--New York University, 2014.
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Many chronically ill older adults experience long stays in the intensive care unit (ICU) and are referred to hospice late in the course of their disease. Palliative care has been associated with decreased ICU length of stay (LOS) and increased hospice LOS, but prior studies have been limited to small numbers of hospitals and have not been able to account for differences between hospitals with and without palliative care.
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The objective of this study was to examine the effect that having a palliative care program had on a hospital's average intensity of treatment, as measured by average ICU LOS and hospice LOS, for patients who were over age 65 and have one or more serious chronic illnesses during the last six months of life.
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Data came from three publically available sources: the National Palliative Care Registry provided the treatment variable (hospitals with palliative care vs. those without), the Dartmouth Atlas project provided the outcomes (mean hospital ICU LOS and hospice LOS), and the American Hospital Association (AHA) Annual Survey provided data on potentially confounding covariates. Selected hospital characteristics that have been demonstrated to be or are likely to be associated with the treatment intensity outcomes or with the presence of a formal palliative care program were used as covariates in the derivation of propensity scores as well as in the final regressions. Propensity scores were used to reweight the sample to remove systematic differences in baseline characteristics between treatment and control groups, therefore more closely approximating a randomized controlled trial. The main outcomes were average ICU LOS and hospice LOS among the hospitals' chronically ill Medicare beneficiaries who died in 2007.
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The study sample included 1048 hospitals: 300 hospitals met criteria for inclusion in the palliative care treatment group and 748 hospitals met criteria for inclusion in the control group without palliative care. After propensity score reweighting there was no statistically significant difference in mean hospital ICU LOS or hospice LOS between patients at hospitals with palliative care and hospitals without palliative care.
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This study was unable to detect differences in ICU LOS or hospice LOS for chronically ill Medicare beneficiaries who were admitted to hospitals with palliative care programs vs. those without. This may be because palliative care did not have a strong impact on these outcomes, but it is more likely due to the fact that palliative care consultation programs typically provide consultation for a small percentage of eligible patients so that the true effect is masked by the outcomes of the majority of patients who did not directly benefit from consultation. Future studies should use additional potentially confounding covariates and use inclusion criteria that do not select only large or academic hospitals.
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