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Full-Text Articles in Medicine and Health Sciences
Geographic Access To Hospice Care For Children With Cancer In Tennessee, 2009 To 2011, Lisa C. Lindley, Phd, Rn, Sheri L. Edwards
Geographic Access To Hospice Care For Children With Cancer In Tennessee, 2009 To 2011, Lisa C. Lindley, Phd, Rn, Sheri L. Edwards
Lisa C Lindley
In many states, cancer is the leading cause of death among children. The geographic interface between the need for hospice and the supply of pediatric hospice may be critical in whether children with cancer are able to access care. The purpose of our study was to describe the geographic distribution of pediatric hospice need and supply and to identify areas lacking pediatric hospice care in Tennessee over a 3 year time period. We used data from the 2009 to 2011 Tennessee Cancer Registry and Joint Annual Report of Hospices. ArcGIS was used to create a series of longitudinal maps. We …
The Effect Of Pediatric Knowledge On Hospice Care Costs, Lisa C. Lindley, Sandra J. Mixer, Melanie J. Cozad
The Effect Of Pediatric Knowledge On Hospice Care Costs, Lisa C. Lindley, Sandra J. Mixer, Melanie J. Cozad
Lisa C Lindley
The cost of hospice care is rising. Although providing care for children at end of life may be costly for hospices, it is unclear whether or not gaining pediatric knowledge and even establishing a pediatric program may be done cost effectively. The purpose of our study was to examine the effect of possessing pediatric knowledge (i.e., pediatric program, pediatric experience) on core hospice care costs. Using 2002 to 2008 California hospice data, the findings of the regression analysis suggest that having pediatric knowledge does not significantly increase nursing, physician, and medical social service costs. Having a pediatric program was related …
Factors Influencing The Implementation Of Health Care Reform: An Examination Of The Concurrent Care For Children Provision, Lisa C. Lindley, Sheri Edwards, Don J. Bruce
Factors Influencing The Implementation Of Health Care Reform: An Examination Of The Concurrent Care For Children Provision, Lisa C. Lindley, Sheri Edwards, Don J. Bruce
Lisa C Lindley
In the wake of the 2013 Presidential reelection, states now face the reality of implementing the healthcare reform, including ACA section 2302 (Concurrent Care for Children). The purpose of our study was to examine the influence of economic, political, and legal factors on state implementation of ACA 2302. Using data from 2010 to 2012, our analysis revealed that for early implementers economic, political or legal factors did not influence implementation of ACA 2302. In 2011, states that were engaged in Medicaid cost containment efforts were more likely to implement ACA 2302 and in 2012, states experiencing a budgetary crisis were …
Trends In Services Among Pediatric Hospice Providers During 2002 To 2008, Lisa C. Lindley
Trends In Services Among Pediatric Hospice Providers During 2002 To 2008, Lisa C. Lindley
Lisa C Lindley
The medical complexities involved in caring for children at end of life have increased during the past few decades. This study sought to understand what hospice services were offered for these children and to examine service trends among pediatric hospice providers over a 7-year (2002-2008) timeframe. The number of core hospice services diminished in 2003 (IRR = 0.873, 95% CI [0.795,0.971]) and 2004 (IRR = 0.889, 95% CI [0.793, 0.995]); however, by 2008 there was an increase in offering core (IRR = 1.130, 95% CI [1.038,1.230]), noncore (IRR = 1.117, 95% CI [1.013,1.231]), and other hospice (IRR = 1.117, 95% …