Table 2.
Agency Service Provision by Agency Type*
| Mixed Agencies (n=2476) | Non-Mixed Agencies (n=1076) | Unadjusted Models† | Adjusted Models‡ | |
|---|---|---|---|---|
| Service Provided by Agency | % | % | OR (95% CI) | OR (95% CI) |
| All core hospice services | 34.0 | 65.4 | 3.66 (3.15, 4.26) | 1.97 (1.59, 2.44) |
| 9-10 non-core hospice services | 37.2 | 65.9 | 3.27 (2.81, 3.80) | 2.23 (1.82, 2.72) |
| All core HHA services§ | 83.0 | 65.8 | 0.39 (0.33, 0.46) | 0.34 (0.27, 0.44) |
| Core hospice services | ||||
| Volunteers | 77.4 | 96.1 | 7.27 (5.26, 10.05) | 6.90 (4.21, 11.30) |
| Physician services | 52.0 | 87.2 | 6.30 (5.18, 7.66) | 2.14 (1.66, 2.76) |
| Spiritual care | 77.8 | 95.1 | 5.53 (4.13, 7.41) | 3.08 (1.98, 4.81) |
| Bereavement care | 79.8 | 93.5 | 3.63 (2.80, 4.72) | 4.62 (2.60, 8.20) |
| Counseling | 70.2 | 89.5 | 3.62 (2.92, 4.48) | 3.03 (2.23, 4.10) |
| Dietary and nutritional services | 70.5 | 87.6 | 2.95 (2.42, 3.61) | 2.71 (2.10, 3.49) |
| Social services§ | 93.5 | 96.1 | 1.70 (1.20, 2.40) | 2.82 (1.67, 4.78) |
| Skilled nursing services§ | 97.9 | 89.0 | 0.17 (0.13, 0.24) | 0.20 (0.12, 0.32) |
| Non-core hospice services | ||||
| Medications | 53.7 | 91.0 | 8.70 (7.96, 10.87) | 3.32 (2.43, 4.53) |
| Durable medical equipment & supplies | 53.5 | 89.3 | 7.21 (5.85, 8.88) | 3.14 (2.46, 4.02) |
| Continuous home care | 64.3 | 80.6 | 2.30 (1.94, 2.73) | 2.17 (1.73, 2.73) |
| Respite care | 82.4 | 90.7 | 2.08 (1.65, 2.62) | 2.23 (1.57, 3.17) |
| Personal care | 94.2 | 95.6 | 1.34 (0.96, 1.88) | 1.42 (0.90, 2.23) |
| Homemaker/Household services | 61.6 | 65.3 | 1.17 (1.01, 1.36) | 1.39 (1.14, 1.69) |
| Intravenous therapy | 80.8 | 81.7 | 1.06 (0.88, 1.28) | 0.91 (0.72, 1.16) |
| Speech therapy/Audiology§ | 89.8 | 80.3 | 0.46 (0.38, 0.56) | 0.54 (0.41, 0.71) |
| Occupational therapy§ | 92.6 | 80.4 | 0.33 (0.26, 0.40) | 0.36 (0.28, 0.48) |
| Physical therapy§ | 96.2 | 87.8 | 0.28 (0.22, 0.37) | 0.11 (0.07, 0.18) |
| Other services | ||||
| Pastoral care | 76.8 | 95.9 | 7.11 (5.19, 9.76) | 7.14 (4.37, 11.66) |
| Transportation | ∥13.3 | 35.4 | 3.56 (3.00, 4.22) | 3.15 (2.48, 3.99) |
| Respiratory therapy | 46.0 | 67.2 | 2.40 (2.07, 2.79) | 2.10 (1.72, 2.57) |
| Psychological services | 46.2 | 50.6 | 1.20 (1.04, 1.38) | 0.92 (0.76, 1.11) |
| Enterostomal therapy | 60.1 | 62.7 | 1.12 (0.96, 1.30) | 1.40 (1.16, 1.71) |
| Referral services | 80.5 | 79.0 | 0.91 (0.76, 1.09) | 0.96 (0.75, 1.24) |
| Companion services | 43.0 | 38.5 | 0.83 (0.72, 0.96) | 0.99 (0.82, 1.21) |
| Meals on wheels | ∥12.6 | ∥5.7 | 0.42 (0.31, 0.56) | 0.28 (0.20, 0.39) |
OR: odds ratio; CI: confidence interval; SD: standard deviation; NA: Not applicable; HHA: home health agencies
All values weighted to provide national estimates.
N for unadjusted models was 3551 due to missing data. Mixed agencies are the reference group for OR.
N for adjusted models was 3223 due to missing data. Mixed agencies are the reference group for OR, and all models are adjusted for covariates of Medicare hospice certification, Medicaid hospice certification, quartiles of number of current total patients, quartiles of number of current hospice patients, operated by a hospital, and census region.
Core HHA services included: skilled nursing services, physical therapy, occupational therapy, and speech therapy.
Sample size was too small for a reliable estimate of Meals on Wheels frequency (both mixed and non-mixed agencies) and transportation frequency (mixed agencies).