Barriers of Acceptance to Hospice Care: a Randomized Vignette-Based Experiment.

ABSTRACT:

Background

The per diem financial structure of hospice care may lead agencies to consider patient-level factors when weighing admissions.

Objective

To investigate if treatment cost, disease complexity, and diagnosis are associated with hospice willingness to accept patients.

Design

In this 2019 online survey study, individuals involved in hospice admissions decisions were randomized to view one of six hypothetical patient vignettes: "high-cost, high-complexity," "low-cost, high-complexity," and "low-cost, low-complexity" within two diseases: heart failure and cystic fibrosis. Vignettes included demographics, prognoses, goals, and medications with costs. Respondents indicated their perceived likelihood of acceptance to their hospice; if likelihood was <100%, respondent

SUBMITTER: Trandel ET 

PROVIDER: S-EPMC9905383 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature