Findings from the Diversion Study indicated that within six months of the CARE assessment, 23% of diverted customers had died and 28% of non-diverted customers had died. CRADO conducted an exploratory study of end of life care, specifically hospice use, in FY 2004 called, Hospice Component of the Longitudinal Diversion Study: Explanation of Hospice Use by Medicaid and Medicare Consumers in Kansas. A survey of CARE assessors was completed and indicated that lack of knowledge of palliative care was a barrier to hospice utilization.
During FY 2005, CRADO focused on barriers to discussing end-of-life concerns. Four focus groups of the CARE assessors were completed that allowed us to explore their depth of knowledge about end of life care and their attitudes towards palliative care. This project was funded in part through a contract with KDOA and SRS.
Gordon, T., Landry, S., Chapin, R., Zimmerman, M., Rachlin, R., Hickey, A. (2005, November). Examining Hospice Utilization Among Older Adults Applying for NF placement. Gerontological Society of America, Orlando, FL.
Gordon, T., Macmillan, K., Chapin, R., & Landry, S. (2005, August). Exploring hospice utilization by Medicaid and Non-Medicaid customers: A secondary analysis of a longitudinal study of frail older Kansans. Paper presented at the 1st National Conference on Access to Hospice And Palliative Care, St. Louis, MO.
Chapin, R., Gordon, T., Landry, S., Rachlin, R. (2007). Hospice Use by Older Adults Knocking on the Door of the Nursing Facility: Implications for Social Work Practice. Journal of Social Work in End-of-life and Palliative Care.