Hospice care has many advantages: professional interdisciplinary help, availability of 24/7 care teams, coverage of hospice care expenses by common healthcare insurance plans, and possibilities to avoid aggressive hospitalization, procedures and treatments (Kuebler, Davis & Moore, 2005). However, there also are disadvantages of hospice care, mostly associated with the methods of funding of hospice care programs. Since there is a flat daily rate of funding, according to Medicare, it means that medical expenses and the choice of procedures are the responsibility of the hospice agency.
Such procedures as diagnostic tests might not be approved in all necessary cases because they are expensive (Kuebler, Davis & Moore, 2005); hospitalizations might be discouraged for financial purposes, and the patients of hospice care are not usually allowed to participate in clinical trials or experimental treatments. Certain life-prolonging procedures might also not be allowed at hospice care agencies. These disadvantages do outweigh the advantages of hospice care for many patients, and the choice between hospice care and frequent hospitalizations depends on the awareness of the patient and on the reputation of the hospice agency.
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Kuebler, K.K. & Davis, M.P. & Moore, C.D. (2005). Palliative practices: an interdisciplinary approach. Elsevier Health Sciences.