Impact of a Centralized Inpatient Hospice Unit in an Academic Medical Center

被引:3
|
作者
Jegier, Briana J. [1 ,2 ]
O'Mahony, Sean [2 ,3 ]
Johnson, Julie [2 ,4 ]
Flaska, Rita [5 ]
Perry, Anthony [2 ,3 ]
Runge, Mary [5 ]
Sommerfeld, Teri [2 ,3 ]
机构
[1] DYouville Coll, Hlth Serv Adm, 320 Porter Ave, Buffalo, NY 14201 USA
[2] Rush Univ, Med Ctr, Hlth Syst Management, Chicago, IL 60612 USA
[3] Rush Univ, Med Ctr, Johnston R Bowman Ctr, Chicago, IL 60612 USA
[4] Loyola Univ, Med Ctr, 2160 S 1st Ave, Maywood, IL 60153 USA
[5] Horizon Hosp, Chicago, IL USA
来源
关键词
inpatient hospice unit; academic hospital; costs; PALLIATIVE CARE; HEALTH-CARE; LIFE; END; ACCESS;
D O I
10.1177/1049909115599157
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: Rush University Medical Center (RUMC) and Horizon Hospice opened the first centralized inpatient hospice unit (CIPU) in a Chicago academic medical center in 2012. This study examined if there was a difference in cost or length of stay (LOS) in a CIPU compared to hospice care in scattered beds throughout RUMC. Study Design and Methods: This retrospective, cross-sectional study compared cost and LOS for patients admitted to the CIPU (n = 141) and those admitted to hospice scattered beds (SBM) throughout RUMC (n = 56). Results: The CIPU patients had a median LOS of 6.0 days versus 2.0 days for SBM patients. Conclusions: The CIPU patients had longer hospice LOS but lower hospital costs. Academic medical centers may benefit from aggregating hospice beds.
引用
收藏
页码:755 / 759
页数:5
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