Health & Well-Being » Hospice
Why It's Important
Hospice is a concept of caring derived from medieval times, symbolizing a place
where travelers, pilgrims, the sick, wounded or dying could find rest and comfort.
The contemporary hospice offers a comprehensive program of care to patients and
families facing a life threatening illness. Hospice is primarily a concept of care,
not a specific place of care. Hospice emphasizes palliative rather than curative
treatment; quality rather than quantity of life. The dying are comforted.
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How Richmond is Doing
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How Virginia is Doing
According to Home Care and Hospice in Virginia - Issues and Trends, 2007:
Trends in Hospice
- 1/3 of all deaths now occur while under hospice care
- 75.9% of hospice patients die in the place they call home
- 46% of hospice patients have cancer diagnoses
- 1 in 5 hospice agencies run an inpatient facility or a residential facility
Hospice Statistics
- Licensed Hospice Programs have increased 42.3% since 2002 in Virginia
- Medicare Certified Hospice Programs have increased 31.5% since 2002 in Virginia
- Terminal illness
- Cancer
- COPD
- Alzheimer's
- CHF
- Parkinson's
(HOME CARE AND HOSPICE IN VIRGINIA - ISSUES AND TRENDS, 2007)
How the U.S. is Doing
According to the National Hospice and Palliative Care Organization:
- For 2007, National Hospice and Palliative Care Organization estimates that approximately
38.8% of all deaths in the United States were under the care of a hospice program.
- An estimated 1.4 million patients received Services from hospice .This estimate
includes:
- 930,000 patients who died under hospice care in 2007;
- 258,000 who remained on the hospice census at the end of 2007 (known as "carryovers");
and
- 222,000 patients who were discharged alive in 2007 for reasons including extended
prognosis, desire for curative treatment and other reasons (known as "live discharges").
- Four out of five hospice patients are 65 years of age or older — and more than one-third
of all hospice patients are 85 years of age or older.
- In 2007, the top five chronic illnesses served by hospice included heart disease
(11.8% of admissions), debility unspecified (11.2%), dementia (10.1%), and lung
disease (7.9%).
(HOSPICE CARE IN AMERICA, 2008)
According to the Hospice Association of America and the National Hospice and Palliative
Care Organization:
- There are over 3,000 hospices participating in the Medicare program in the US, with
an additional 200 volunteer hospices. From 1984 to 2006, the number of Medicare
participating hospice facilities increased one hundred fold.
- Reports show that more than 893,856 patients received hospice care through
Medicare in 2005.
- Medicare certifies more than 90 percent of hospices in the United States. Eighty
percent of hospice patients are age 65 or older. There has also been an increase
in patients age 75 and older receiving hospice care.
- Less than one-half of hospice recipients are now cancer patients. The five leading
non-cancer conditions of persons who are admitted to hospice are end-stage heart
disease, dementia, debility, lung disease, and end-stage renal disease.
(HOME HEALTH, HOSPICE, AND ELDER CARE, 2008)
Data & Information Sources
Federal Interagency Forum on Aging Related Statistics
http://www.agingstats.gov/agingstatsdotnet/main_site/default.aspx
Home Care and Hospice in Virginia - Issues and Trends, 2007
http://74.125.95.132/search?q=cache:Fr06BmBLPRkJ:www.hhr.virginia.gov/Initiatives/HealthReform/MeetingMats/LTC/HomeCare-Hospice.ppt+hospice+statistics+in+virginia&cd=1&hl=en&ct=clnk&gl=us
Home Health, Hospice, and Elder Care, 2008
http://www.healthsystem.virginia.edu/uvahealth/adult_homehealth/hosstats.cfm
Hospice Care in America, 2008
http://www.nhpco.org/files/public/Statistics_Research/NHPCO_facts-and-figures_2008.pdf
U.S. Census Bureau, American Community Survey
http://www.census.gov/acs/www/