Journal of palliative medicine
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As the United States braces for full implementation of health care reform, the eyes of the nation are on Medicaid. The large number of newly eligible Medicaid beneficiaries may challenge health care resources and ultimately impact quality of care. This is a special concern among current Medicaid beneficiaries such as children with complex chronic conditions (CCCs) who have significant health care needs, especially at end of life (EOL). Yet, a comprehensive profile of these children is lacking. ⋯ The current California Medicaid system appears to provide comprehensive care for children at EOL. The underutilization of hospice and home health services, however, represents an opportunity to improve the quality of EOL care while potentially reducing or remaining budget neutral.
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Chinese family caregivers in the United States experience high rates of burden. Studies in this population require culturally appropriate and valid instruments. ⋯ This study suggests that the BASC-C is a valid measure of caregiver burden among Chinese family caregivers.