Dying in America - An Examination of Policies that Deter Adequate End-of-Life Care in Nursing HomesFaculty Scholarship
- health care policy,
- end-of-life care,
- nursing homes,
AbstractThis article examines current health care policies and government practices that deter appropriate end-of-life care, focusing on the use of hospice services for dying nursing home patients. The authors conclude that hospice and nursing home regulations, reimbursement for hospice and nursing homes, and enforcement of the fraud and abuse rules collude to “chill” utilization of hospice by nursing homes and result in inadequate end-of-life care for many nursing home patients. They argue that these policies and practices have at their roots a number of questionable assumptions and call for a shift in existing paradigms affecting care to this group and a realigning of incentives among these various government policies to achieve consistent policy goals.
Publication Citation33 Journal of Law, Medicine & Ethics 294 (2005).
Citation InformationDiane E. Hoffmann and Anita J. Tarzian. "Dying in America - An Examination of Policies that Deter Adequate End-of-Life Care in Nursing Homes" (2005)
Available at: http://works.bepress.com/diane_hoffmann/10/