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February 23, 20260 citations

State POLST Program Maturity Status and Dying in the Nursing Home or Hospice in the United States: An Event Time Study.

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KMKomal Patel MuraliMHMay HuaPSPatricia W Stone

Key Points

  • To explore the association between POLST program maturity and end-of-life care in nursing homes and hospices.
  • Event time study of nursing home residents in the United States
  • Assessment of POLST program maturity across states
  • Analysis of dying locations: in place or in hospice.
  • Higher POLST maturity associated with increased likelihood of dying in hospice
  • Reduced burdensome hospital transfers
  • Support for goal-concordant care at the end of life.

Abstract

POLST program maturity is associated with a higher likelihood of NH residents dying in place or in hospice, potentially supporting goal-concordant care and reducing burdensome hospital transfers near the end of life.

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Cite This Study

Murali et al. (2026) studied this question.

synapsesocial.com/papers/699ba08472792ae9fd8703fehttps://doi.org/10.1016/j.jamda.2026.106134
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