Association Between Palliative Case Management and Utilization of Inpatient, Intensive Care Unit, Emergency Department, and Hospice in Medicaid Beneficiaries

Lin Wang, Leslie Piet, Catherine M. Kenworthy, Sydney M. Dy

Research output: Contribution to journalArticlepeer-review

Abstract

Association between palliative case management (PCM) and the utilization of major health services during the last 30 days of life in Medicaid patients with cancer was assessed using retrospective cohort analysis. There were 132 PCM enrollees in the intervention group and 54 non-PCM enrollees in the comparison group. The intervention group had lower inpatient admission rate than that of the comparison group (56.8% vs 74.1%), lower ICU admission rate (12.9% vs 24.1%), longer mean hospice days (45.8 vs 31.1 days), and lower percentage of persons with death in hospital (24.2% vs 35.9%). No statistically significant differences were found in mean intensive care unit days (8.7 vs 9.7 days), treat-and-release emergency department visit rate (22.0% vs 16.7%), or hospice election rate (65.9% vs 70.4%). Palliative case management may reduce hospitalization and increase hospice use in patients nearing death.

Original languageEnglish (US)
Pages (from-to)216-220
Number of pages5
JournalAmerican Journal of Hospice and Palliative Medicine
Volume32
Issue number2
DOIs
StatePublished - Mar 14 2015

Keywords

  • case management
  • end of life
  • health care utilization
  • health services utilization
  • medicaid
  • palliative care

ASJC Scopus subject areas

  • Medicine(all)

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