{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T15:27:10Z","timestamp":1787153230641,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In Israel, several policies have supported the growth of home-based hospice through a unique public\u2013private care delivery and financing system. Yet, little is known about trends in home hospice use in Israel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe 10-year trends in diagnosis, length of stay (LOS), and discharge patterns among home hospice patients in Israel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of all patients admitted to Sabar Health\u2019s home hospice program between 2014 and 2023. Demographic and clinical data were analyzed by primary diagnosis: Cancer, dementia, end-organ failure, frailty, and neurodegenerative disease. Trends in enrollment, LOS, and live discharge rates were assessed over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 25,673 patients, the proportion with cancer annually declined from 88.6% in 2014 to 57.8% in 2023, while admissions for dementia rose from 0% in 2014 to 19.6% in 2023. Median LOS increased from 20 to 35 days, with the longest durations observed among patients with dementia and neurodegenerative disease. Live discharge rates also rose, particularly in the dementia group from 12.2% to 20% over the observed period, with a growing share occurring after \u2265180 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Home hospice care in Israel has evolved significantly over the past decade, with increasing enrollment of patients with prolonged and uncertain illness trajectories. These trends emphasize the need for more adaptable eligibility frameworks, improved prognostic tools, and expanded caregiver support to meet the needs of a diversifying hospice population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261448762","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:34:57Z","timestamp":1778823297000},"page":"1201-1207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Home Hospice Service Use Trends in Israel 2014\u20132023"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0889-5799","authenticated-orcid":false,"given":"Inbal","family":"Mayan","sequence":"first","affiliation":[{"name":"Sabar Health, Netanya, Israel."},{"name":"Duke University, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boaz","family":"Hovav","sequence":"additional","affiliation":[{"name":"Max Stern Academic College of Emek Israel, Afula, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gila","family":"Yakov","sequence":"additional","affiliation":[{"name":"Max Stern Academic College of Emek Israel, Afula, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glynis","family":"Katz","sequence":"additional","affiliation":[{"name":"Sabar Health, Netanya, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Or","family":"Duchin","sequence":"additional","affiliation":[{"name":"Sabar Health, Netanya, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahar","family":"Geva-Robinson","sequence":"additional","affiliation":[{"name":"Sabar Health, Netanya, Israel."},{"name":"Department of Medicine, Division of Palliative Care at the University of Ottawa, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren J.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Duke University, Durham, North Carolina, USA."},{"name":"Department of Epidemiology &amp; Biostatistics, University of California, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Sabar","sequence":"additional","affiliation":[{"name":"Sabar Health, Netanya, Israel."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2020.01.001"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32513-8"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2011.00632.x"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0248"},{"key":"e_1_3_2_7_1","unstructured":"6.Clark D. 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Palliative care in israel\u2014where are we going to and from where are we coming?"},{"key":"e_1_3_2_23_1","unstructured":"22.Sabar R Katz G Silbermann M. An Avant-Garde National Home Hospice Service Israel. 5."},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0055"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2025.101479"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm-23-503"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.7326\/M15-0381"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.207624"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2015.0383"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302889"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17107"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261448762","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261448762","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261448762","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:46:09Z","timestamp":1787150769000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261448762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,1]]}},"alternative-id":["10.1177\/10966218261448762"],"URL":"https:\/\/doi.org\/10.1177\/10966218261448762","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]}}}