title: The case for hospice care in long-term care environments.
abstract: Hospice care typically is underused in long-term care facilities. Although these programs do provide other quality services, routine measurement of important parameters of end-of-life care, such as pain control, dyspnea, and spiritual and psychosocial issues, should also occur. Health care providers working in long-term care facilities should be held accountable for high-quality care for dying residents. In this environment, the benefits of hospice or hospicelike services may become immediately apparent. Continued attention to changes in the Medicare Hospice Benefits to improve patient access to hospice services and health care delivery for those living in long-term care facilities is warranted.
authors.affiliation: Department of Family Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Keay
authors.forename: R S
authors.initials: RS
authors.lastname: Schonwetter
mesh_terms: D004992:Ethics, Medical; D006297:Health Services Accessibility / Q000458:organization & administration; D017051:Hospice Care / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D006278:Medicare; D020380:Needs Assessment; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012866:Skilled Nursing Facilities / Q000458:organization & administration*; D014481:United States