Advance Directives in Home Health and Hospice Agencies: United States, 2007

被引:4
作者
Resnick, Helaine E. [1 ,2 ]
Hickman, Susan E. [3 ]
Foster, Gregory L. [1 ]
机构
[1] Georgetown Univ, Amer Assoc Homes & Serv Aging, Washington, DC 20008 USA
[2] Georgetown Univ, Dept Med, Washington, DC 20008 USA
[3] Indiana Univ, Sch Nursing, Indianapolis, IN 46204 USA
关键词
advance care planning; end of life; advance directives; home care; hospice; survey; ELDERLY PERSONS; DYING PATIENTS; LIFE; END; ENOUGH; DEATH; CARE;
D O I
10.1177/1049909111399751
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This report provides nationally representative data on policies, storage, and implementation of advance directives (ADs) in home health and hospice (HHH) agencies in the United States using the National Home and Hospice Care Survey. Federally mandated ADs policies were followed in > 93% of all agencies. Nearly all agencies stored ADs in a file at the agency, but only half stored them at the patient's residence. Nearly all agencies informed staff about the AD, but only 77% and 72% of home health agencies informed the attending physician and next-of-kin, respectively. Home health and hospice agencies are nearly universally compliant with ADs policies that are required in order to receive Medicare and Medicaid payments, but have much lower rates of adoption of ADs policies beyond federally mandated minimums.
引用
收藏
页码:467 / 474
页数:8
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