PURPOSE: The purpose was to examine the characteristics of children who use hospice care. DESIGN AND METHODS: Using the Andersen Model of Health Services Use, California Medicaid administrative databases were analyzed to describe the characteristics of 76 children in hospice. RESULTS: The predisposing, enabling, and need characteristics of children were identified. Children who used hospice were a diverse group with community resources that enabled them to access care while presenting with serious health needs. Children enrolled in hospice were more likely older (15-20 years of age), resided nearer a pediatric hospice, and had a serious health condition such as neuromuscular disease with multiple comorbidities. PRACTICE IMPLICATIONS: With this knowledge, pediatric nurses can improve their clinical practice by targeting conversations with families and children most in need of hospice care.
PURPOSE: The purpose was to examine the characteristics of children who use hospice care. DESIGN AND METHODS: Using the Andersen Model of Health Services Use, California Medicaid administrative databases were analyzed to describe the characteristics of 76 children in hospice. RESULTS: The predisposing, enabling, and need characteristics of children were identified. Children who used hospice were a diverse group with community resources that enabled them to access care while presenting with serious health needs. Children enrolled in hospice were more likely older (15-20 years of age), resided nearer a pediatric hospice, and had a serious health condition such as neuromuscular disease with multiple comorbidities. PRACTICE IMPLICATIONS: With this knowledge, pediatric nurses can improve their clinical practice by targeting conversations with families and children most in need of hospice care.
Authors: Betty Davies; Sally A Sehring; J Colin Partridge; Bruce A Cooper; Anne Hughes; Julie C Philp; Aara Amidi-Nouri; Robin F Kramer Journal: Pediatrics Date: 2008-02 Impact factor: 7.124
Authors: Nancy L Keating; Lisa J Herrinton; Alan M Zaslavsky; Liyan Liu; John Z Ayanian Journal: J Natl Cancer Inst Date: 2006-08-02 Impact factor: 13.506
Authors: Maureen E Lyon; Paige L Williams; Elizabeth R Woods; Nancy Hutton; Anne M Butler; Erica Sibinga; Michael T Brady; James M Oleske Journal: J Palliat Med Date: 2008-04 Impact factor: 2.947
Authors: Nancy L Keating; Mary Beth Landrum; Edward Guadagnoli; Eric P Winer; John Z Ayanian Journal: J Gen Intern Med Date: 2007-10-16 Impact factor: 5.128