The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882894
L L Blank
{"title":"Overview on ABIM End-of-Life Patient Care Project: caring for the dying: identification and promotion of physician competency.","authors":"L L Blank","doi":"10.1080/0742-969x.1998.11882894","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882894","url":null,"abstract":"<p><p>The American Board of Internal Medicine's project to improve end-of-life care was initiated in response to lack of attention given to death and dying in the United States. The project focuses mainly on physician competency in residency and fellowship training. With this data, recommendations can be made to improve physician training in end-of-life care treatment.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"145-50"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20562531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882884
J K Harrold
{"title":"Pain, symptoms, and suffering: possibilities and barriers.","authors":"J K Harrold","doi":"10.1080/0742-969x.1998.11882884","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882884","url":null,"abstract":"","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882884","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20563401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882897
L W Kaye, J K Davitt
{"title":"Comparison of the high-tech service delivery experiences of hospice and non-hospice home health providers.","authors":"L W Kaye, J K Davitt","doi":"10.1080/0742-969x.1998.11882897","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882897","url":null,"abstract":"This study examined the degree to which national samples of hospice and non-hospice home health care agencies (N = 154) present different organizational profiles and grapple with different patient capacity issues when delivering technology-enhanced services to incapacitated elderly. Hospice agencies employ more part-time staff, make more in-home visits, see more high-tech patients, and provide a wider range of high-tech services than non-hospice providers. Factor analysis of index data confirms that hospice staff have more experience (p < .05) addressing the legal/ethical dimensions of care. Specifically, hospices deal with \"right to die\" issues more often (p < .05), but not with \"delegation of authority\" and \"patient rights\" issues. More agencies of both types have policies for handling decisions about life-sustaining treatment than for dealing with patients having questionable decision-making capacity. Needed agency policies for dealing with limited patient decision-making capacity in hospice and non-hospice home care agencies are reviewed.","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 3","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20594864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882898
C Cox
{"title":"Hospice care for persons with AIDS: findings from a national study.","authors":"C Cox","doi":"10.1080/0742-969x.1998.11882898","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882898","url":null,"abstract":"<p><p>Hospices are in a position to play major roles in the care of terminally ill patients with AIDS. These findings from a national survey of hospices in the United States show that the majority of hospices have cared for at least one PWA. Major factors determining hospice involvement include geographic location and resources. In comparison to other patients in hospice, PWAs are younger, more likely to be male, Black or Hispanic, and covered by Medicaid. The results indicate that hospices are reaching women with AIDS and IVDUs but that minorities continue to be underrepresented in comparison to their distribution among the total AIDS cases in the United States.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 3","pages":"21-34"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20594865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882906
S B Dowd, V L Poole, R Davidhizar, J N Giger
{"title":"Death, dying and grief in a transcultural context: application of the Giger and Davidhizar assessment model.","authors":"S B Dowd, V L Poole, R Davidhizar, J N Giger","doi":"10.1080/0742-969x.1998.11882906","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882906","url":null,"abstract":"<p><p>One of the most challenging aspects of death education and grief counseling is providing care and education that is relevant to the cultural, racial, and ethnic needs of the client. Often appropriate responses are difficult due to the lack of a relevant model; otherwise practitioners tend to operate from facts collected in isolation. This article reports on an assessment model originally developed in nursing by Giger and Davidhizar and discusses its potential use in providing culturally relevant death education and grief counseling.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 4","pages":"33-56"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20789792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882893
J Mahoney
{"title":"An update on efforts by the hospice community and the National Hospice Organization to improve access to quality hospice care.","authors":"J Mahoney","doi":"10.1080/0742-969x.1998.11882893","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882893","url":null,"abstract":"<p><p>More than a year has passed since the Center to Improve Care of the Dying and the Corcoran Gallery of Art sponsored the symposium entitled: A Good Dying: Shaping Health Care for the Last Months of Life. Using the National Hospice Foundation sponsored exhibition, Hospice: A Photographic Inquiry, as a backdrop, the symposium included presentations on the current state of hospice care as well as the obstacles that limit access to hospice care. This article represents an update on many of the activities of the National Hospice Organization and the greater hospice community as we continue to improve access to quality hospice care.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"139-44"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882893","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20562530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882888
T Hoyer
{"title":"A history of the Medicare hospice benefit.","authors":"T Hoyer","doi":"10.1080/0742-969x.1998.11882888","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882888","url":null,"abstract":"<p><p>Since the inception of the Medicare hospice benefit, hospice has marked a new approach to managed care. Its focus on cost-effectiveness has made it one of Medicare's most successful managed care options. Various restrictions were placed on the hospice program; but, in return for these limitations, advocates of the program received an opportunity to create a program entirely different from other Medicare providers. The challenges of operating a hospice include electing hospice care, candid communication, and the relationship with other providers. These challenges will continue to burden hospices until discussions of death can be direct, clear, and knowledgeable.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"61-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882888","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20563404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882889
N A Christakis
{"title":"Predicting patient survival before and after hospice enrollment.","authors":"N A Christakis","doi":"10.1080/0742-969x.1998.11882889","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882889","url":null,"abstract":"<p><p>Despite the apparent advantages of hospice care, several barriers exist in terms of patient referral. Physicians' prognoses play a large role in determining when hospice care should begin. Predicting patient survival is a subjective decision dependent on several factors that vary before and after hospice enrollment. Currently, the stay of patients in hospice is very short; this can be attributed to late referral by physicians. Additional research on physician behavior and prognostication could help optimize the use of hospice as a valuable health care resource, thereby improving end of life care for terminally ill patients.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"71-87"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882889","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20563405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Hospice journalPub Date : 1998-01-01DOI: 10.1080/0742-969x.1998.11882883
E Ayers, J K Harrold
{"title":"Managed, capitated care: opportunities for good and evil.","authors":"E Ayers, J K Harrold","doi":"10.1080/0742-969x.1998.11882883","DOIUrl":"https://doi.org/10.1080/0742-969x.1998.11882883","url":null,"abstract":"","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"13 1-2","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1998.11882883","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20563400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}