More older adults in the United States are dying at home, but many still are transferred between different care sites and receive aggressive inpatient care in their final days.
Medicare data for some 800 000 patients aged 66 years or older suggest a mixed picture of end-of-life care. Fewer individuals died in acute care hospitals in 2009 than in 2000, and more turned to hospice care. In 2009, 29.2% were in an intensive care unit in their last month of life compared with 24.3% in 2005. The number of transfers between care sites in the final 3 months of life averaged 3.1 in 2009 compared with 2.1 in 2000.
Selections From News@JAMA and JAMA Forum. JAMA. 2013;309(11):1100. doi:10.1001/jama.309.11.1100