Few hemodialysis patients on medicare enroll in hospice

Few hemodialysis patients on medicare enroll in hospice

(HealthDay)—Among Medicare beneficiaries on hemodialysis, few patients are enrolled in hospice at the end of life, regardless of the spending trajectory during the last year of life, according to a study published in the June issue of Health Affairs.

Ann M. O'Hare, M.D., from the University of Washington in Seattle, and colleagues examined use and timing in a national cohort of Medicare beneficiaries on hemodialysis with distinct spending trajectories during their last year of life.

The researchers identified four distinct spending trajectories, which represented different intensities of care. Within the cohort, 9, 13, 41, and 37 percent had escalated spending, persistently high spending, relatively low spending with late escalation, and moderate with late escalation. The percentages of patients enrolled in hospice at the time of death were universally low across the groups, varying from 19 to 21 percent of those with persistently high costs and moderate costs, respectively. The median number of days spent in hospice during the last year of life was almost the same (five or six days) across the groups.

"These findings likely reflect the impact of policy and perhaps other barriers to the receipt of hospice care for on hemodialysis and signal the need for more flexible approaches to the provision of end-of-life care for members of this population," the authors write.


Explore further

Medicare kidney failure patients enter hospice too late to reap full benefits

More information: Abstract/Full Text (subscription or payment may be required)
Journal information: Health Affairs

Copyright © 2018 HealthDay. All rights reserved.

Citation: Few hemodialysis patients on medicare enroll in hospice (2018, June 28) retrieved 18 July 2019 from https://medicalxpress.com/news/2018-06-hemodialysis-patients-medicare-enroll-hospice.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more