Hospice Care in Assisted Living Facilities Versus at Home: Results of a Multisite Cohort Study

Objectives To compare residents of assisted living facilities receiving hospice with people receiving hospice care at home. Design Electronic health record–based retrospective cohort study. Setting Nonprofit hospices in the Coalition of Hospices Organized to Investigate Comparative Effectiveness net...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2015-06, Vol.63 (6), p.1153-1157
Main Authors: Dougherty, Meredith, Harris, Pamela S., Teno, Joan, Corcoran, Amy M., Douglas, Cindy, Nelson, Jackie, Way, Deborah, Harrold, Joan E., Casarett, David J.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
assisted living
Assisted living facilities
Assisted Living Facilities - organization & administration
Cohort Studies
Female
Geriatric Assessment - statistics & numerical data
Geriatrics
Health Status
Home Care Services - organization & administration
Home health care
hospice
Hospice care
Hospice Care - standards
Hospice Care - statistics & numerical data
Hospices - statistics & numerical data
Humans
Independent Living - statistics & numerical data
Length of Stay - statistics & numerical data
Male
palliative care
Retrospective Studies
United States - epidemiology
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Summary:Objectives To compare residents of assisted living facilities receiving hospice with people receiving hospice care at home. Design Electronic health record–based retrospective cohort study. Setting Nonprofit hospices in the Coalition of Hospices Organized to Investigate Comparative Effectiveness network. Participants Individuals admitted to hospice between January 1, 2008, and May 15, 2012 (N = 85,581; 7,451 (8.7%) assisted living facility, 78,130 (91.3%) home). Measurements Hospice length of stay, use of opioids for pain, and site of death. Results The assisted living population was more likely than the home hospice population to have a diagnosis of dementia (23.5% vs 4.7%; odds ratio (OR) = 13.3, 95% confidence interval (CI)  = 12.3–14.4; P 
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.13429