Nursing News & Articles

Goldfeld KS et al. – Medicare expenditures among nursing home residents with advanced dementia vary substantially. Hospitalizations and hospice account for most spending. Strategies that promote high–quality palliative care may shift expenditures away from aggressive treatments for these patients at the end of life.

• Nursing home residents with advanced dementia in 22 facilities (N = 323) were followed up for 18 months.
• Clinical and health services use data were collected every 90 days.
• Medicare expenditures were described.
• Multivariate analysis was used to identify factors associated with total 90–day expenditures for (1) all Medicare services and (2) all Medicare services excluding hospice.