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Lepore, Michael J.; Miller, Susan C.; Gozalo, Pedro – Gerontologist, 2011
Purpose: Medicare hospice is a valuable source of quality care at the end of life, but its lower use by racial minority groups is of concern. This study identifies factors associated with hospice use among urban Black and White nursing home (NH) decedents in the United States. Design and Methods: Multiple data sources are combined and multilevel…
Descriptors: Hospices (Terminal Care), Use Studies, Whites, African Americans
Welch, Lisa C.; Miller, Susan C.; Martin, Edward W.; Nanda, Aman – Gerontologist, 2008
Purpose: Given concerns about end-of-life care for many nursing home (NH) residents, this study sought to understand factors influencing hospice referral or nonreferral as well as timing of referral. Design and Methods: We conducted semistructured interviews with personnel from seven participating NHs and two hospices. We interviewed NH directors…
Descriptors: Nurses, Nursing Homes, Referral, Hospices (Terminal Care)

Wetle, Terrie; Shield, Renee; Teno, Joan; Miller, Susan C.; Welch, Lisa – Gerontologist, 2005
Purpose: The purpose of this study is to expand knowledge regarding end-of-life care received in nursing homes through the use of narrative interviews with family members close to the decedents. Design and Methods: We conducted follow-up qualitative interviews with 54 respondents who had participated in an earlier national survey of 1,578…
Descriptors: Family Attitudes, Nursing Homes, Hospices (Terminal Care), Older Adults