Literature Review

How hospices are diversifying their services in 2024Hospice News, by Holly Vossel; 1/31/24Palliative care, pediatric end-of-life care and end-of-life doula (EOLD) services are top of mind for hospices that are diversifying their services in 2024.Fewer than half of 143 respondents to Hospice News’ 2024 Outlook Survey, conducted with Homecare Homebase, reported that their hospice organizations would pursue new care types this year. But the aim of their service diversification efforts may indicate future trends. Service diversification trends in hospice could ramp up as value-based care models incentivize this path, according to Tony Kudner, chief strategy officer of the home-based care consulting company Transcend Strategy Group. 

Timely dementia diagnosis, specialized long-term care limited for members of minority groups: studyMcKnights Senior Living, by Kimberly Bonvissuto; 2/1/24Researchers from University of California-Davis Health and Oregon Health & Science University said that members of minority groups fall victim to systemic oppression that leads to a higher risk of hospitalization and more aggressive life-sustaining treatment in end-of-life care. Their research, published in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, analyzed 71 studies between 2000 and 2022 that examined healthcare access and quality for people living with dementia and their caregivers.

Why hospice utilization rates have fallenHospice News, by Jim Parker; 1/25/24National hospice utilization rates have fallen since 2020, though the total number of patients served remains consistent. ... Mathematically, the percentage declined in part because of continually changing demographics.Publisher's note: This article quotes a decline in Medicare hospice utilization rates through 2021, which is true. However, we are seeing a rebound / increase in 2022 and 2023 information.

Examining disparities in the management of NSCLC

Cervical cancer increasing in women in their 30s and 40s, new report finds NBC News, by Liz Szabo; 1/20/24Among women in their 30s and early 40s, incidence has been edging upward. Diagnosis of cervical cancer among women ages 30 to 44 rose almost 2% a year from 2012 to 2019.

Pressing questions about rural telehealth access and investments put innovation in dangerMcKnights Long-Term Care News, by Kimberly Marselas; 1/22/24Proven healthcare technologies can help improve patient care and boost staff confidence, but in many rural areas, one major impediment remains: lack of high-speed internet.

Race, ethnicity, and cancer type influence which patients access hospice careOncology Nurse Advisor, by Jennifer Larson; 1/19/24... [A] researcher from a comprehensive cancer center in North Carolina conducted a clinical literature review to investigate research outcomes of hospice use in the United States. ... A total of 17 quantitative studies, published between 2017 and 2023, was included in this review. Notable differences by cancer type were found. ... The analysis also showed disparities in hospice use by race and ethnicity.

$15 billion win for physicians on prior authorizationAMA, by Kevin B. O'Reilly; 1/18/24Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior authorization to cut patient care delays and electronically streamline the process for physicians. Together, the changes will save physician practices an estimated $15 billion over 10 years, according to the U.S. Department of Health and Human Services (HHS).

Social determinants of health play 'an important role' in end-of-life pain strategiesHealio, by Jennifer Byrne and Timothy M. Pawlik; 1/16/24Patients with gastrointestinal cancers face ongoing racial/ethnicity-based disparities in end-of-life pain management, specifically in terms of access to and utilization of opioids, study results showed.

Washington, D.C., needs to address hospice care utilization disparitiesThe Washington Informer, by Donna Gayles and Audrey Easaw; 1/13/23Our nation’s capital ranks high in many things, from access to outdoor activities and number of museums to its ethnic and cultural diversity and vibrant LGBTQ+ population. But the city lags far behind in one key area: hospice care utilization. While on average, just under half of Medicare decedents are in hospice care at their time of death, in the District of Columbia, only 25% are – ranking lower than 49 of the 50 states.

How history has shaped racial and ethnic health disparities: A timeline of policies and eventsKFF, with thanks to Daniel Dawes, Gilbert Gee, Michelle Tong; ongoing reference for health policy research, polling and journalismThis timeline offers a historical view of significant U.S. federal policies and events spanning the early 1800s to today that have influenced present-day health disparities. It covers policies that directly impacted health coverage and access to care, relevant events in medicine, social and economic policies and developments that influence health, and efforts to tackle inequalities. ... While not exhaustive, the timeline aims to provide context for addressing disparities, acknowledging the complex history that shapes racial and ethnic health and health care disparities that persist today.

Agrace partners with nonprofit SAGE to meet needs of LGBT community eldersIn Business - Greater Madison; 1/8/24... At least 80% of the nonprofit’s staff have completed annual cultural competence training about the needs and concerns of the LGBT community. SAGE, the country’s oldest and largest nonprofit organization dedicated to improving the lives of LGBT older adults, reports that discrimination, harassment, and violence often lead LGBT elders to become ill at an earlier age than their straight peers. Agrace has partnered with SAGE to provide services including hospice, supportive (palliative) care, adult day care, grief support, and nonmedical senior care and serve elders across southern Wisconsin.