Table 2.
Service contact utilization by site of care (N=32,605 patients receiving routine hospice care between 2009 and 2014).
| Characteristic | Site of Care | |||
|---|---|---|---|---|
| Overall N=32,605 |
Patient home N=15,869 |
Nursing home N=10,962 |
Assisted living N=5,774 |
|
| Service contact occurred during hospice episode, No. (%) |
||||
| All disciplines | 32605 (100.0) | 15869 (100.0) | 10962 (100.0) | 5774 (100.0) |
| Aide | 25613 (78.6) | 11294 (71.2) | 9124 (83.2) | 5195 (90.0) |
| Nurse | 32566 (99.9) | 15852 (99.9) | 10940 (99.8) | 5774 (100.0) |
| Social work | 29460 (90.4) | 14113 (88.9) | 9882 (90.2) | 5465 (94.7) |
| Music therapy | 17352 (53.2) | 6195 (39.0) | 6918 (63.1) | 4239 (73.4) |
| Chaplain | 18583 (57.0) | 6913 (43.6) | 7579 (69.1) | 4091 (70.9) |
| Physician | 6026 (18.5) | 2144 (13.5) | 2266 (20.7) | 1616 (27.8) |
| Number of service contacts standardized to a 1 week period, mean (SD); median |
||||
| All disciplines | 7.4 (4.1); 6.5 | 7.5 (4.2); 7.0 | 7.4 (3.9); 6.2 | 7.3 (3.8); 6.2 |
| Aide | 1.7 (1.3); 1.8 | 1.5 (1.4); 1.5 | 1.8 (1.1); 1.9 | 2.1 (1.3); 2 |
| Nurse | 4.0 (2.9); 3.1 | 4.4 (3.1); 3.5 | 3.7 (2.8); 2.7 | 3.5 (2.7); 2.6 |
| Social work | 0.9 (1.1); 0.5 | 0.9 (1.1); 0.6 | 0.9 (1.1); 0.5 | 0.7 (0.9); 0.4 |
| Music therapy | 0.4 (0.7); 0.1 | 0.3 (0.7); 0 | 0.4 (0.7); 0.3 | 0.4 (0.6); 0.3 |
| Chaplain | 0.4 (0.8); 0.2 | 0.4 (0.7); 0 | 0.5 (0.8); 0.3 | 0.4 (0.6); 0.3 |
| Physician | 0.0 (0.2); 0 | 0.1 (0.2); 0 | 0.1 (0.3); 0 | 0.1 (0.2); 0 |
| Number of service contact minutes standardized to a 1 week period, mean (SD); median |
||||
| All disciplines | 513.0 (431.7); 389.4 |
547.1 (474.6); 425.4 |
478.0 (378.5); 357 |
485.8 (393.7); 364.6 |
| Aide | 107.2 (102.1); 107.6 |
94.2 (113.2); 80.2 |
136.3 (97.7); 114 |
136.3 (97.7); 129.2 |
| Nurse | 326.0 (373.8); 206.2 |
374.8 (410.8); 249.0 |
282.4 (331.0); 168 |
274.6 (322.8); 159.2 |
| Social work | 44.0 (82.4); 22.4 | 49.3 (93.8); 26.3 | 40.9 (73.1); 19.7 |
35.5 (62.1); 17.9 |
| Music therapy | 14.6 (45.0); 2.3 | 10.9 (34.0); 0 | 17.9 (39.5); 8.1 | 18.4 (72.1); 10.4 |
| Chaplain | 18.7 (46.9); 5.3 | 15.8 (47.3); 0 | 23.1 (50.2); 9.7 | 18.1 (37.6); 9.7 |
| Physician | 2.2 (15.2); 0 | 1.7 (15.3); 0 | 2.7 (15.8); 0 | 2.6 (13.9); 0 |
*
Chi-square used for categorical variables; Kruskal-Wallis non-parametric test used for continuous variables; p-values adjusted for multiple testing using false discovery rate method indicate overall difference across the three groups. Omnibus tests were all significant at the p<.001 level. Pairwise comparisons were conducted and all tests were significant at the p<.01 level except for:
- aide contact (yes/no) between patient home and nursing home (p=.0492) and
- aide contact (yes/no) between patient home and assisted living (p=.0137) and
- chaplain contact (yes/no) between nursing home and assisted living (p=.0229) and
- all disciplines number of contacts between nursing home and assisted living (p=.8213) and
- number of nurse contacts between nursing home and assisted living (p=.0102) and
- number of nurse minutes between nursing home and assisted living (p=.9634) and
- number of social work minutes between nursing home and assisted living (p=.0408)