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Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias

Despite known benefits of hospice, inequities exist. Using data from a multi-site pragmatic trial in a representative groups of hospices, we examined inequities in length of stay (LOS) and general inpatient use (GIU) for 12,153 patients with dementia (primary and secondary diagnosis) using descripti...

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Autores principales: Brody, Abraham, Estrada, Leah, Durga, Aditi, Lin, Shih-Yin, Ford, Ariel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679710/
http://dx.doi.org/10.1093/geroni/igab046.1277
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author Brody, Abraham
Estrada, Leah
Durga, Aditi
Lin, Shih-Yin
Ford, Ariel
author_facet Brody, Abraham
Estrada, Leah
Durga, Aditi
Lin, Shih-Yin
Ford, Ariel
author_sort Brody, Abraham
collection PubMed
description Despite known benefits of hospice, inequities exist. Using data from a multi-site pragmatic trial in a representative groups of hospices, we examined inequities in length of stay (LOS) and general inpatient use (GIU) for 12,153 patients with dementia (primary and secondary diagnosis) using descriptive statistics and association tests. There were significant associations between race/ethnicity and GIU and LOS (p< 0.001). In those with primary diagnosis of dementia, Asian (31%) and Black/AA (24%) individuals had significantly greater utilization of GIU than Hispanic (19%) and white individuals (21%). Greater inequities were found in those with a secondary diagnosis. LOS amongst Asians were shortest with 78% having an LOS ≦14 vs 50-59% in other groups. Differences in long-stay >60 days (7%) vs 14-22% in other groups were found. There were similar differences examining by primary vs. secondary diagnosis. These inequities point to cultural and systems factors that require further study and intervention.
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spelling pubmed-86797102021-12-17 Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias Brody, Abraham Estrada, Leah Durga, Aditi Lin, Shih-Yin Ford, Ariel Innov Aging Abstracts Despite known benefits of hospice, inequities exist. Using data from a multi-site pragmatic trial in a representative groups of hospices, we examined inequities in length of stay (LOS) and general inpatient use (GIU) for 12,153 patients with dementia (primary and secondary diagnosis) using descriptive statistics and association tests. There were significant associations between race/ethnicity and GIU and LOS (p< 0.001). In those with primary diagnosis of dementia, Asian (31%) and Black/AA (24%) individuals had significantly greater utilization of GIU than Hispanic (19%) and white individuals (21%). Greater inequities were found in those with a secondary diagnosis. LOS amongst Asians were shortest with 78% having an LOS ≦14 vs 50-59% in other groups. Differences in long-stay >60 days (7%) vs 14-22% in other groups were found. There were similar differences examining by primary vs. secondary diagnosis. These inequities point to cultural and systems factors that require further study and intervention. Oxford University Press 2021-12-17 /pmc/articles/PMC8679710/ http://dx.doi.org/10.1093/geroni/igab046.1277 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Brody, Abraham
Estrada, Leah
Durga, Aditi
Lin, Shih-Yin
Ford, Ariel
Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title_full Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title_fullStr Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title_full_unstemmed Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title_short Hospice Care Inequities in Individuals With Alzheimer's Disease and Related Dementias
title_sort hospice care inequities in individuals with alzheimer's disease and related dementias
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679710/
http://dx.doi.org/10.1093/geroni/igab046.1277
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