For-Profit Hospices Draw Scrutiny
The Washington Post compares for-profit and nonprofit hospices on several measures, including the amount of money spent per patient. Other stories look at a rural doctor who makes house calls to dying patients, and at the lack of training for most caregivers who tend to frail elderly people in their homes.
The Washington Post:
Dying And Profits: The Evolution Of Hospice
The influx of for-profit companies into the hospice field has benefited patients, advocates say, because the commercial companies made big investments in technology, focused on efficiency and made care more accessible. But a Washington Post analysis of hundreds of thousands of U.S. hospice records indicates that, as those companies transformed a movement once dominated by community and religious organizations into a $17 billion industry, patient care suffered along the way. On several key measures, for-profit hospices as a group fall short of those run by nonprofit organizations. (Whoriskey and Keating, 12/26)
NPR:
Rural Doctor Launches Startup To Ease Pain Of Dying Patients
Dr. Michael Fratkin is getting a ride to work today from a friend. "It's an old plane. Her name's 'Thumper,' " says pilot Mark Harris, as he revs the engine of the tiny 1957 Cessna 182. Fratkin is an internist and specialist in palliative medicine. He's the guy who comes in when the cancer doctors first deliver a serious diagnosis. He manages medications to control symptoms like pain, nausea and breathlessness. And he helps people manage their fears about dying and make choices about what treatments they're willing — and not willing — to undergo. (Dembosky, 1/3)
Kaiser Health News:
As Caregiving Shifts To The Home, Scrutiny Is Lacking
California’s frail elderly and disabled residents increasingly are receiving care in their own homes, an arrangement that saves the government money and offers many people a greater sense of comfort and autonomy than life in an institution. Yet caregivers are largely untrained and unsupervised, even when paid by the state, leaving thousands of residents at risk of possible abuse, neglect and poor treatment, a Kaiser Health News investigation found. (Gorman, 1/5)
Kaiser Health News:
When Home And Health Are Just Out Of Reach
Donna Giron is frail. She has Crohn’s disease and uses a wheelchair to get around because walking exhausts her. But she doesn’t want to be in the nursing home where she has lived since May. Giron, 65, is looking to rent a small house in the industrial town in the Cleveland suburbs where she grew up. Using federal funds from a special project, thousands of elderly and disabled nursing home residents have been able to move into their own homes in recent years. The experimental project has reached people in 44 states, including more than 5,400 in Ohio. It connects people to the medical and living support they need to move into private homes, so that they can live independently. (Tribble, 1/5)
