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Start Over Author "Morrison R" Journal journal of palliative medicine
278 results on '"Morrison R"'

1. Variation in Hospice Aide Care by Residential Setting.

Author

Reckrey, Jennifer M., McKendrick, Karen, Morrison, R. Sean, Osakwe, Zainab Toteh, Ornstein, Katherine A., and Aldridge, Melissa

Subjects
MEDICAL care use, RESEARCH funding, MEDICARE, DESCRIPTIVE statistics, MULTIVARIATE analysis, LONGITUDINAL method, SURVEYS, NURSING care facilities, SOCIODEMOGRAPHIC factors, COMPARATIVE studies, TERMINAL care, CONGREGATE housing, RESIDENTIAL care, HOSPICE care, LABOR supply, HOSPICE patients
Abstract

Background: Hospice care frequently includes hands-on care from hospice aides, but the need for hospice aide care may vary in residential settings (e.g., assisted livings and nursing homes). Objectives: The objective of this study is to compare hospice aide use and factors associated with use across residential settings. Design: This longitudinal cohort study used data from Medicare beneficiaries in the United States enrolled in the Medicare Current Beneficiary Survey (MCBS) who died between 2010 and 2019 and had hospice claims and available residential setting data in MCBS (n = 1,915). Analysis: Decedent hospice aide use was compared by residential settings; multivariable models controlling for sociodemographic, clinical/functional, and hospice characteristics examined factors associated with hospice aide care in different residential settings. Results: Hospice aide visits were least common in the community setting (64.4% vs. 76.6% vs. 72.6% with any hospice aide visits in community, assisted living, and nursing home, respectively, p = 0.001). In adjusted models, factors associated with hospice aide visits did not significantly differ by residential settings. Conclusions: Despite staff providing hands-on support in assisted livings and nursing homes, hospice aide visits were more common in residential as opposed to community settings, and factors associated with hospice aide visits were similar among settings. To maximize the potentially positive impact of hospice aides on overall care, additional work is needed to understand when hospice aides are used and how hospice aides collaborate with families and care teams. This will help to ensure that hospice care is appropriately tailored to individual care needs in all residential settings. [ABSTRACT FROM AUTHOR]

Published
2024
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2. The Growing Influence of the Financial Sector in Serious Illness Care in the United States.

Author

Hunt, Lauren J. and Morrison, R. Sean

Subjects
*HOME care services, *PALLIATIVE treatment, *HEALTH insurance, *MEDICAL care, *MEDICARE, *CATASTROPHIC illness, *INFORMATION needs, *FINANCIAL management, *MEDICAL care costs
Abstract

The article discusses the growing influence of the financial sector, particularly private equity, in the home health and hospice industries in the U.S. Topics discussed include the shift from nonprofit to for-profit ownership, the potential conflict between profit motives and patient care quality, and the implications for care outcomes and Medicare costs.

Published
2024
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5. An Update: National Institutes of Health Research Funding for Palliative Medicine 2016–2020.

Author

Buehler, Nicholas J., Frydman, Julia L., Morrison, R. Sean, and Gelfman, Laura P.

Subjects
HOSPICE care, ALZHEIMER'S disease, PALLIATIVE medicine, ENDOWMENT of research, DESCRIPTIVE statistics, DEMENTIA, PALLIATIVE treatment
Abstract

Background: The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the evidence base remain despite the field's rapid growth. Objective: The aim of this study was to examine current National Institutes of Health (NIH) funding of palliative medicine research and trends over time. Design: We sought to identify NIH funding of palliative medicine (2016–2020) in two stages: (1) we searched the NIH grant database, RePORTER, for grants with the keywords, "palliative care," "end-of-life care," "hospice," and "end of life," and (2) identified palliative care researchers likely to have secured NIH funding using three strategies. Methods: We abstracted (1) the first and last authors' names from original investigations published in major palliative medicine journals from 2016 to 2018; (2) names from a PubMed-generated list of original articles published in major medicine, nursing, and subspecialty journals using the above keywords; and (3) palliative medicine journal editorial board members and members of key palliative medicine initiatives. We cross-matched the pooled names against NIH grants funded from 2016 to 2021. Results: A crosswalk analysis of the author search and NIH RePORTER search identified 1658 grants. Of those, 541 were categorized as relevant to palliative medicine, which represented 419 unique principal investigators (mean of 1.34 grants per investigator). Compared with 2011–2015, the number of NIH-funded grants increased by 25%, NIH dollars increased by 35%, and the distribution of grant types remained stable. Conclusions: Despite the challenging NIH funding climate, the number of NIH grants and funding to palliative care have increased. Given the increased funding allocation toward Alzheimer's dementia and related dementia research at the congressional level, this increase in funding reflects this funding allocation and does not represent overall growth. Dedicated federal funding for palliative care research remains critical to grow the evidence base for persons living with serious illnesses and their families. [ABSTRACT FROM AUTHOR]

Published
2023
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11. An Update: NIH Research Funding for Palliative Medicine, 2011–2015

Author

Brown, Elizabeth, Morrison, R. Sean, and Gelfman, Laura P.

Subjects
Biomedical Research, Financing, Organized, Original Articles, General Medicine, United States, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, National Institutes of Health (U.S.), Research Support as Topic, 030220 oncology & carcinogenesis, Humans, 030212 general & internal medicine, Palliative Medicine, General Nursing
Abstract

The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the palliative care evidence base remain despite the field's rapid growth.To examine current NIH funding of palliative medicine research, changes since our 2013 report, and trends since our 2008 report.We sought to identify NIH funding of palliative medicine from 2011 to 2015 in two stages: (I) we searched the NIH grants database "RePorter" for grants with key words "palliative care," "end-of-life care," "hospice," and "end of life" and (II) we identified palliative care researchers likely to have secured NIH funding using three strategies.We abstracted (1) the first and last authors' names from original investigations published in major palliative medicine journals from 2013 to 2015; (2) these names from a PubMed-generated list of original articles published in major medicine, nursing, and subspecialty journals using the above key words; and (3) palliative medicine journal editorial board members and key members of palliative medicine initiatives. We crossmatched the pooled names against NIH grants funded from 2011 to 2015.The author and NIH RePorter search identified 854 and 419 grants, respectively. The 461 grants categorized as relevant to palliative medicine represented 334 unique PIs. Compared to 2006-2010, the number of NIH-funded junior career development awards nearly doubled (6.1%-10%), articles published in nonpalliative care specialty journals tripled (13%-37%), published palliative care researchers increased by 2.5-fold (839-2120), and NIH-funded original palliative medicine research articles doubled (21%-39%).Despite the challenging NIH funding climate, NIH funding to palliative care remained stable. The increase in early stage career development funding, palliative care investigators, and palliative medicine research published in nonpalliative medicine journals reflects important advances to address the workforce and evidence gaps. Further support for palliative care research is still needed.

Published
2018

13. Evaluation of a Novel Educational Intervention to Improve Conversations About Implantable Cardioverter-Defibrillators Management in Patients with Advanced Heart Failure

Author

Kwok, Ian B., primary, Mather, Harriet, additional, McKendrick, Karen, additional, Gelfman, Laura, additional, Hutchinson, Mathew D., additional, Lampert, Rachel J., additional, Lipman, Hannah I., additional, Matlock, Daniel D., additional, Swetz, Keith M., additional, Kalman, Jill, additional, Pinney, Sean, additional, Morrison, R. Sean, additional, and Goldstein, Nathan E., additional

Published
2020
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39. A Strategy To Advance the Evidence Base in Palliative Medicine: Formation of a Palliative Care Research Cooperative Group

Author

Abernethy, Amy P., primary, Aziz, Noreen M., additional, Basch, Ethan, additional, Bull, Janet, additional, Cleeland, Charles S., additional, Currow, David C., additional, Fairclough, Diane, additional, Hanson, Laura, additional, Hauser, Joshua, additional, Ko, Danielle, additional, Lloyd, Linda, additional, Morrison, R. Sean, additional, Otis-Green, Shirley, additional, Pantilat, Steve, additional, Portenoy, Russell K., additional, Ritchie, Christine, additional, Rocker, Graeme, additional, Wheeler, Jane L., additional, Zafar, S. Yousuf, additional, and Kutner, Jean S., additional

Published
2010
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41. Hospital-Based Palliative Care Consultation: Effects on Hospital Cost

Author

Penrod, Joan D., primary, Deb, Partha, additional, Dellenbaugh, Cornelia, additional, Burgess, James F., additional, Zhu, Carolyn W., additional, Christiansen, Cindy L., additional, Luhrs, Carol A., additional, Cortez, Therese, additional, Livote, Elayne, additional, Allen, Veleka, additional, and Morrison, R. Sean, additional

Published
2010
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