In this large cohort of medicare patients with CHF, in the last 6 months of life, 80% were hospitalized and adjusted medical care costs increased by 11% (highest in those with renal disease, COPD, and black race). However, hospice use increased from 19% to 40%, which indicates some improvement in appropriateness of resource use in end-of-life care in patients with CHF (but with continued room for improvement (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.