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Previous Volume 335:1926-1927 December 19, 1996 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Lynn, J. Related Article by Christakis, N. A. PubMed Citation

To the Editor: In their analysis of hospice enrollment patterns, Drs. Christakis and Escarce (July 18 issue)¹ analyzed Medicare-certified hospice providers as independent agencies, without recognizing their relation to other providers of home care. In our community (northeastern Pennsylvania), seven out of eight agencies are certified by Medicare both as hospice providers and as conventional home care providers. This situation must be considered in any discussion of hospice referrals.

Dual certification has several implications in the care of a patient with a terminal illness. It gives an agency the freedom to first develop an appropriate plan for patient care before . . . [Full Text of this Article]

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