Data from the Dartmouth Atlas Project showed the portion of cancer patients getting hospice care increased to 61% in 2010 from 55% in the years 2003 to 2007, but there was a 31% increase in the number of patients admitted in the final three days of life. Researcher David Goodman said patterns of care are changing rapidly toward a focus on patient preference, it is happening unevenly and "many patients are receiving more aggressive in-patient care and less effective hospice care."

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