The lack of effect of market structure on hospice use

Theodore J. Iwashyna, Virginia W. Chang, James X. Zhang, Nicholas A. Christakis

Research output: Contribution to journalArticlepeer-review


Objective. To describe the relative importance of health care market structure and county-level demographics in determining rates of hospice use. Data Sources. Medicare claims data for a cohort of elderly patients newly diagnosed with lung cancer, colon cancer, stroke, or heart attack in 1993, followed for up to five years, and linked to Census and Area Resource File data. Study Design. Variation between markets in rates of hospice use by patients with serious illness was examined after taking into account differences in individual-level data using hierarchical linear models. The relative explanatory power of market-level structure and local demographic variables was compared. Data Collection Methods. The cohort was defined within the Medicare hospital claims data using validated algorithms to detect incident cases of disease with a three-year lookback. Use of hospice was determined by linkage at an individual level to the Standard Analytic Files for Hospice through 1997. Individual-level data was linked to the Area Resource File using county identifiers present in the Medicare claims. Principal Findings. There is substantial variation in hospice use across markets. This variation is not explained by differences in the major components of health care infrastructure: the availability of hospital, nursing home, or skilled nursing facilities, nor by the availability of HMOs, doctors, or generalists. Conclusions. Intercounty heterogeneity in hospice use is substantial, and may not be related to the set-up of the medical care system. The important local factors may be local preferences, differences in the particular mix of services provided by local hospices, or differences in community leadership on end of life-issues; many of these differences may be amenable to educational efforts.

Original languageEnglish (US)
Pages (from-to)1531-1551
Number of pages21
JournalHealth Services Research
Issue number6
StatePublished - Dec 2002


  • Elderly
  • Inequality
  • Small-area variation
  • Terminal care

ASJC Scopus subject areas

  • Health Policy


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