Practice patterns of hospice medical directors in a midwestern state

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


This study of hospice medical directors was conducted in a Midwestern state with the help of the state hospice organization in the summer of 1998. The hospice programs in this state were young and relatively small. While having practiced medicine for many years, the majority of hospice medical directors had been affiliated with a hospice program for less than five years. The programs reported little orientation or continuing education for their physician leaders. Pain management practices were analyzed and compared with practice standards in the hospice pain management literature. Attitudes on the scheduled dosing of opioids, use of adjuvant medications for bone pain, the assessment of pain by the patient, and physician comfort with high doses of morphine are consistent with suggested standards and attitudes in the literature. Practice patterns that differed with the literature included choice of drugs, routes of administration, and dosing issues. Opportunities exist to improve care and lower cost.

Original languageEnglish
Pages (from-to)633-638
Number of pages6
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number5
StatePublished - 1999


Dive into the research topics of 'Practice patterns of hospice medical directors in a midwestern state'. Together they form a unique fingerprint.

Cite this