Key result
Extensive variation existed in end-of-life care among 77 highly respected US hospitals, with days in hospital per decedent ranging from 9.4 to 27.1 and hospice enrollment from 10.8% to 43.8%.
Population
Medicare patients receiving most of their hospital care from 77 hospitals that appeared on the 2001 US News…
Design
Cohort
Follow-up
last six months of life
Authors
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Wide end-of-life care variation at leading hospitals warrants clinician awareness; leaves open drivers and quality implications for research.
Cohort
Yes
There is striking variation in the utilization of end-of-life care among highly respected US medical centers.
Wennberg et al. (2004) conducted a cohort in End of life care. Care at highly respected US hospitals vs. Variation among hospitals was evaluated on Use of healthcare resources in the last six months of life. Extensive variation existed in end-of-life care among 77 highly respected US hospitals, with days in hospital per decedent ranging from 9.4 to 27.1 and hospice enrollment from 10.8% to 43.8%.
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