Rural-urban differences in end-of-life nursing home care: facility and environmental factors.

  title={Rural-urban differences in end-of-life nursing home care: facility and environmental factors.},
  author={Helena Temkin-Greener and Nan Zheng and Dana B Mukamel},
  journal={The Gerontologist},
  volume={52 3},
PURPOSE OF THE STUDY This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents. DATA AND METHODS We constructed 3 risk-adjusted EOL quality measures (QMs) for long-term decedent residents: in-hospital death, hospice referral before death, and presence of severe pain. We used CY2005-2007 100% Minimum Data Set, Medicare beneficiary file, and inpatient and hospice claims. Logistic regression models were estimated to predict the… CONTINUE READING


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