Ruth Palan Lopez, Meghan Hendricksen, Ellen P McCarthy, Kathleen M Mazor, Ashley Roach, Anita Hendrix Rogers, Fayron Epps, Kimberly S Johnson, Harriet Akunor, Susan L Mitchell
Importance: Regional, facility, and racial and ethnic variability in intensity of care provided to nursing home residents with advanced dementia is well documented but poorly understood. Objective: To assess the factors associated with facility and regional variation in the intensity of care for nursing home residents with advanced dementia. Design, Setting, and Participants: In the ADVANCE (Assessment of Disparities and Variation for Alzheimer Disease Nursing Home Care at End of Life) qualitative study, conducted from June 1, 2018, to July 31, 2021, nationwide 2016-2017 Medicare Minimum Data Set information identified 4 hospital referral regions (HRRs) with high (n = 2) and low (n = 2) intensity of care for patients with advanced dementia based on hospital transfer and tube-feeding rates...
January 24, 2022: JAMA Internal Medicine