PMID- 24445151
OWN - NLM
STAT- MEDLINE
DCOM- 20161114
LR  - 20181202
IS  - 1938-2715 (Electronic)
IS  - 1049-9091 (Linking)
VI  - 32
IP  - 2
DP  - 2015 Mar
TI  - Association between palliative case management and utilization of inpatient, 
      intensive care unit, emergency department, and hospice in Medicaid beneficiaries.
PG  - 216-20
LID - 10.1177/1049909113520067 [doi]
AB  - Association between palliative case management (PCM) and the utilization of major 
      health services during the last 30 days of life in Medicaid patients with cancer 
      was assessed using retrospective cohort analysis. There were 132 PCM enrollees in 
      the intervention group and 54 non-PCM enrollees in the comparison group. The 
      intervention group had lower inpatient admission rate than that of the comparison 
      group (56.8% vs 74.1%), lower ICU admission rate (12.9% vs 24.1%), longer mean 
      hospice days (45.8 vs 31.1 days), and lower percentage of persons with death in 
      hospital (24.2% vs 35.9%). No statistically significant differences were found in 
      mean intensive care unit days (8.7 vs 9.7 days), treat-and-release emergency 
      department visit rate (22.0% vs 16.7%), or hospice election rate (65.9% vs 
      70.4%). Palliative case management may reduce hospitalization and increase 
      hospice use in patients nearing death.
CI  - (c) The Author(s) 2014.
FAU - Wang, Lin
AU  - Wang L
AD  - The Johns Hopkins Medical Institutions, Johns Hopkins Health Care, Department of 
      Care Management Administration, Baltimore, MD, USA linwang@jhmi.edu.
FAU - Piet, Leslie
AU  - Piet L
AD  - The Johns Hopkins Medical Institutions, Johns Hopkins Health Care, Department of 
      Care Management Administration, Baltimore, MD, USA.
FAU - Kenworthy, Catherine M
AU  - Kenworthy CM
AD  - The Johns Hopkins Medical Institutions, Johns Hopkins Health Care, Department of 
      Care Management Administration, Baltimore, MD, USA.
FAU - Dy, Sydney M
AU  - Dy SM
AD  - The Johns Hopkins University, Bloomberg School of Public Health, Department of 
      Health Policy & Management, Baltimore, MD, USA.
LA  - eng
PT  - Journal Article
DEP - 20140120
PL  - United States
TA  - Am J Hosp Palliat Care
JT  - The American journal of hospice & palliative care
JID - 9008229
SB  - IM
MH  - Case Management/*statistics & numerical data
MH  - Critical Care/*statistics & numerical data
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Health Care Costs/statistics & numerical data
MH  - Hospice Care/statistics & numerical data
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Medicaid/*statistics & numerical data
MH  - Middle Aged
MH  - Palliative Care/*statistics & numerical data
MH  - Retrospective Studies
MH  - Terminal Care/economics/statistics & numerical data
MH  - United States
OTO - NOTNLM
OT  - case management
OT  - end of life
OT  - health care utilization
OT  - health services utilization
OT  - medicaid
OT  - palliative care
EDAT- 2014/01/22 06:00
MHDA- 2016/11/15 06:00
CRDT- 2014/01/22 06:00
PHST- 2014/01/22 06:00 [entrez]
PHST- 2014/01/22 06:00 [pubmed]
PHST- 2016/11/15 06:00 [medline]
AID - 1049909113520067 [pii]
AID - 10.1177/1049909113520067 [doi]
PST - ppublish
SO  - Am J Hosp Palliat Care. 2015 Mar;32(2):216-20. doi: 10.1177/1049909113520067. 
      Epub 2014 Jan 20.