Hospice care and end-of-life quality in nursing homes
Hospice Use, Hospice Quality, and Related End-of-Life Outcomes in Nursing Homes
This project looks at how hospice services affect end-of-life care for older adults living in nursing homes.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Columbia University Health Sciences NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project ID | NIH-11119024 on NIH RePORTER |
What this research studies
Researchers will analyze national nursing home and hospice data to find patterns in who enrolls in hospice, how long they receive it, and related end-of-life outcomes. They will follow the data work with interviews and observations involving nursing home staff, hospice teams, and family caregivers to understand the reasons behind those patterns. The study uses Donabedian’s Structure-Process-Outcomes framework and compares periods before, during, and after the 2020 public health emergency to identify lasting changes. Combining numbers and personal accounts aims to link measurable differences with real-world care practices in nursing homes.
Who could benefit from this research
Good fit: Ideal participants include nursing home residents aged 65 and older with advanced illness (or their family caregivers) and nursing home or hospice staff who can share care experiences.
Not a fit: People who live at home, are under 65, or are not near the end of life are unlikely to be direct candidates or to see direct benefit from this project.
Why it matters
Potential benefit: If successful, this work could help more nursing home residents get timely, higher-quality hospice care and improve end-of-life experiences.
How similar studies have performed: Prior studies have linked hospice to better end-of-life outcomes but have found wide variation across nursing homes, and the impact of the COVID-19 period remains less explored.
Where this research is happening
New York, United States
- Columbia University Health Sciences — New York, United States (Active)
Researchers
- Principal investigator: Shang, Jingjing — Columbia University Health Sciences
- Study coordinator: Shang, Jingjing
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.