Specialty Palliative Care Consultations for Nursing Home Residents With Dementia.

ABSTRACT:

Context

U.S. nursing home (NH) residents with dementia have limited access to specialty palliative care beyond Medicare hospice.

Objectives

The objective of this study was to examine the value of expanded palliative care access for NH residents with moderate-to-very severe dementia.

Methods

We merged palliative care consultation data in 31 NHs in two states to Medicare data to identify residents with consultations, moderate-to-very severe dementia, and deaths in 2006-2010. Initial palliative consultations were identified as occurring later and earlier (1-30 days and 31-180 days before death, respectively). Three controls for each consultation recipient were selected using propensity score matching. Weighted multivariate analyses evaluated the effect of consultations o

SUBMITTER: Miller SC 

PROVIDER: S-EPMC5663286 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature