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Among Medicare beneficiaries on hemodialysis

Few Hemodialysis Patients on Medicare Enroll in Hospice

Patterns of use, timing of hospice similar among patients with diverse spending trajectories
Family members of those who have received hospice care in a nursing home report lower perceived quality of care

Quality of Perceived Hospice Care Varies by Setting

Family members perceive hospice care received at nursing homes to be of lower quality
There are noticeable differences in hospice utilization among patients with malignant glioma

Variation Seen in Hospice Use for Malignant Glioma

Differences by race, sex, age, level of education, urban versus rural residence identified
About three-quarters of patients in California who receive End of Life Option Act drugs ingest them and die

Three-Quarters Receiving ‘End of Life Option Act’ Drugs Take Them

Common reasons for pursuing California's EOLOA are not wanting to suffer, not being able to enjoy life
The presence and number of restricting symptoms and the number of disabilities are associated with increased likelihood of hospice admission for older adults during their last year of life

Short Duration of Hospice Seen for Seniors at End of Life

Presence and number of restricting symptoms and disabilities linked to likelihood of hospice admission
Most individuals with a Coordinate My Care plan die in their chosen location

Most Patients With Care Plan Die in Chosen Location

Females, those with poor performance status, and cancer diagnosis more likely to die in chosen location
Hospice quality varies

Blacks, Hispanics Appear to Get Lower-Quality Hospice Care

Caregiver survey finds disparities between minority and white patients
Most hematologic oncologists agree that hospice care is helpful for patients with hematologic cancers

Concerns Limit Hospice Use for Hematologic Oncologists

Almost half of respondents felt that home hospice was inadequate for their patients' needs
U.S. hospitals differ greatly in how often they move new stroke patients from treatment to comfort or hospice care

Hospitals Vary Widely in Moving Stroke Patients to Comfort Care

Doctors more apt to suggest it sooner for older, white, female, and uninsured patients
A considerable proportion of hospice caregivers are moderately to severely depressed or have moderate to severe symptoms of anxiety

Depression, Anxiety Prevalent in Hospice Caregivers

Younger age and poorer self-rated global health are risk factors for both depression and anxiety