Continuity of care decreases at end of life, new study says
Hospitalist Leadership Connection, January 20, 2009
During the 1990s and early 2000s, continuity of care from home to hospital declined, according to a new study by The University of Texas in Galveston.
Researchers found that in terminal patients with advanced lung cancer (stage IIIB or IV) between 1992 and 2002, outpatient-to-inpatient continuity of care dropped from 60% to 51%. In addition, these patients were less likely to spend time in the ICU before death.
The patients associated with lower continuity of care tended to be unmarried, low-income, black males who were treated by a hospitalist in a teaching hospital, according to the study’s abstract.
The study, “Continuity of Care and Intensive Care Unit Use at the End of Life,” was published in the Archives of Internal Medicine last week.
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