Background: Family preferences for location of end-of-life care are important considerations when treating children with life-limiting conditions. Home and hospital have been the most common locations for end of life care in pediatrics. There is limited research on whether families would choose to receive end-of-life care in an inpatient hospice facility if a pediatric-specific facility was available. Objectives: We examined changes in family utilization of inpatient hospice services with the availability of an inpatient pediatric hospice facility (PHF). Prior to opening of the PHF, an adult inpatient hospice facility was utilized for inpatient pediatric hospice care. Methods: We conducted a retrospective cohort study with data collected on location of death five years prior to and five years following the opening of a PHF that receives referrals from a large children’s hospital. Two data sources from the hospice organization were used: 1) a dataset on origins and outcomes of referrals to...

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