Hospital provision of end-of-life services: who, what, and where? (original) (raw)

Medical Care

Abstract

Availability of options other than aggressive medical treatment for persons with life-limiting illnesses has provided hospitals an opportunity to adopt formalized end-of-life care services. To describe hospital ownership types that have adopted formalized end-of-life services (who), the scope of end-of-life services offered (what), and the geographic location of service provision (where). Nationally representative cross-sectional data for 3,939 hospitals (80% of respondent hospitals) obtained from the American Hospital Association Annual Survey of Hospitals was used for the year 1998. A scale was developed to measure hospital provision of general end-of-life, pain management, or hospice services. A multivariate ordinary least-squares regression model was used to test the association of ownership as a predictor of end-of-life service provision, while controlling for internal (organizational) and external (market location and size) characteristics. Independent correlates of the number...

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