End-of-Life Care for Rural Medicare Beneficiaries
There is increasing interest on the part of policymakers in end-of-life care with specific concern about the reasons for low rates of hospice use. This project will examine patterns of end-of-life care for rural Medicare beneficiaries through analysis of administrative databases and the completion of case studies. The data analysis will focus on rates of hospice use as well as rates of in-hospital death and will examine whether demographic and geographic patterns in hospice use differ for rural and urban populations, and whether patterns are stable across the period 1996-1999. The analysis will also assess the impact of local resources (e.g., home health agencies, hospitals) on rates of hospice use.
To complement the above analysis, we will complete case studies of different types of hospice models serving rural communities (i.e., hospital-based, free-standing rural-based, free-standing urban-based, public health agency-based). The case studies will provide an in-depth perspective of hospices challenges serving rural areas and best practices that can serve as models for other rural communities.
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