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- Publisher
- American Medical Association
- Copyright
- Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- DOI
- 10.1001/jama.2012.207624
- pmid
- 23385273
- Publisher site
- See Article on Publisher Site
Abstract
ORIGINAL CONTRIBUTION Change in End-of-Life Care for Medicare Beneficiaries Site of Death, Place of Care, and Health Care Transitions in 2000, 2005, and 2009 Joan M. Teno, MD, MS Importance A recent Centers for Disease Control and Prevention report found that Pedro L. Gozalo, PhD more persons die at home. This has been cited as evidence that persons dying in the United States are using more supportive care. Julie P. W. Bynum, MD, MPH Objective To describe changes in site of death, place of care, and health care tran- Natalie E. Leland, PhD sitions between 2000, 2005, and 2009. Susan C. Miller, PhD, MBA Design, Setting, and Patients Retrospective cohort study of a random 20% sample Nancy E. Morden, MD, MPH of fee-for-service Medicare beneficiaries, aged 66 years and older, who died in 2000 (n=270 202), 2005 (n=291 819), or 2009 (n=286 282). A multivariable regression Thomas Scupp, BS model examined outcomes in 2000 and 2009 after adjustment for sociodemographic David C. Goodman, MD characteristics. Based on billing data, patients were classified as having a medical di- Vincent Mor, PhD agnosis of cancer, chronic obstructive pulmonary disease, or dementia in the last 180 days of life. UBLIC OPINION SURVEYS
Journal
JAMA – American Medical Association
Published: Feb 6, 2013