Table 1: Characteristics of Included Studies Author Study Year Cohort Design Measure Cher and 1994 81,494 Medicare Retrospective Adjusted potentially Lenert, patients hospitalized in cohort design ineffective care: 1997 ICUs in California death or death within 100 days of hospital discharge and total hospital costs above the 90th percentile Pritchard 1992-1993 Patients dying Ecologic Percent dying at home or et al., hospitalization in the study in the hospital 1998 five-hospital, observational SUPPORT study and Medicare beneficiaries who died in 1992 or 1993 Fisher et Mid-1994 to In 306 hospital referral Prospective Content, accessibility of al., 2003 1997 CMS regions (HRRs), cohort care, and quality of care claims data for Medicare Parts A and B (e.g., preventive services expenditures. fee-for-service patients Ecologic and acute myocardial Then one-year hospitalized for hip study for infarction process and five-year fracture, colorectal correlation of measures) with different sample cancer, or acute aggregate levels of EOL data on myocardial infarction measures expenditures content, (1993-1995) and a accessibility, and representative sample quality of care. from the 1992-1995 Medicare Beneficiary Survey Wennberg 1999-2000 115,089 Medicare Retrospective The last six months of et al., decedents case series of life: number of days 2004 from 77 hospitals on the those who spent in hospital and in 2001 US News and died intensive care units; World Report list of number of physician best hospitals visits; percentage of patients seeing 10 or more physicians; and percentage enrolled in hospice Teno et 1998 Mortality Decedents in high- Survey of Survey-derived al., 2005 date; survey date (n=365) and low- family information about unmet unknown members of needs, concerns, and (n=413) hospital service decedents rating of quality EOL areas care in five domains
Table 1: Characteristics of Included Studies Author Study Year Cohort Design Measure Cher and Lenert, 1997 1994 81,494 Medicare patients hospitalized in ICUs in California Retrospective cohort design Adjusted potentially ineffective care: death or death within 100 days of hospital discharge and total hospital costs above the 90th percentile Pritchard et al., 1998 1992-1993 Patients dying in the five-hospital, observational SUPPORT study and Medicare beneficiaries who died in 1992 or 1993 Ecologic study Percent dying at home or in the hospital Fisher et al., 2003 Mid-1994 to 1997 CMS claims data for expenditures. Then one-year and five-year sample data on content, accessibility, and quality of care. In 306 hospital referral regions (HRRs), Medicare Parts A and B fee-for-service patients hospitalized for hip fracture, colorectal cancer, or acute myocardial infarction (1993-1995) and a representative sample from the 1992-1995 Medicare Beneficiary Survey Prospective cohort Ecologic study for correlation of aggregate measures Content, accessibility of care, and quality of care (e.g., preventive services and acute myocardial infarction process measures) with different levels of EOL expenditures Wennberg et al., 2004 1999-2000 115,089 Medicare decedents from 77 hospitals on the 2001 US News and World Report list of best hospitals Retrospective case series of those who died The last six months of life: number of days spent in hospital and in intensive care units; number of physician visits; percentage of patients seeing 10 or more physicians; and percentage enrolled in hospice Teno et al., 2005 1998 Mortality date; survey date unknown Decedents in high- (n=365) and (n=413) hospital service areas Survey of family members of decedents Survey-derived information about unmet needs, concerns, and rating of quality EOL care in five domains hospitalization low-
FergusonR_mphessay_april2017.docx