Predicting patient survival before and after hospice enrollment

Hosp J. 1998;13(1-2):71-87. doi: 10.1080/0742-969x.1998.11882889.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chronic Disease / mortality*
  • Health Services Accessibility / standards
  • Hospice Care / statistics & numerical data*
  • Humans
  • Length of Stay / statistics & numerical data
  • Predictive Value of Tests
  • Prognosis
  • Referral and Consultation / statistics & numerical data*
  • Risk Factors
  • Survival Analysis
  • Time Factors