End-of-Life Planning Depends on Socio-Economic and Racial Background: Evidence from the US Health and Retirement Study (HRS).
End-of-Life Planning Depends on Socio-Economic and Racial Background: Evidence from the US Health and Retirement Study (HRS).
复制标题
DOI：
10.1016/j.jpainsymman.2021.05.018
复制
发表时间：
2021-12
影响因子：
4.7
通讯作者：
Mossialos E
中科院分区：
文献类型：
--
作者：
Orlovic M;Warraich H;Wolf D;Mossialos E
美国人表达了强烈的偏好，参与决策有关他们的医疗保健，但他们往往无法参与决策有关他们的临终关怀。研究临终规划的决定因素，包括个人衰老和死亡过程的影响、健康状况以及社会经济和种族/民族背景。美国观察性队列研究，使用健康和退休研究（1992 - 2014）的数据，包括37，494名个体。随机效应逻辑回归分析被用来检查之间的关系的存在的一个活着的意志和一系列的个人随时间变化的特征，包括死亡时间，和几个时间不变的特征。临终规划取决于几个患者的特征和情况，社会经济和种族/民族背景具有最大的影响。正如我们所预料的那样，在生命的后期，生存的可能性急剧上升，并且随着患者接近死亡而进一步改变。死亡过程对临终规划的影响比衰老过程更大。了解增加临终规划的差异对于激励患者参与非常重要。应鼓励所有年龄段的人进行预先规划，因为这是提供以病人为中心和具有成本效益的护理的必然要求。不适用因这是一项做得很好的全国性研究，突出了社会经济因素和种族/民族对提前护理计划的影响。
Americans express a strong preference for participating in decisions regarding their medical care, yet they are often unable to participate in decision-making regarding their end-of-life care. To examine determinants of end-of-life planning; including, the effect of an individual’s ageing and dying process, health status and socio-economic and racial/ethnic background. US observational cohort study, using data from the Health and Retirement Study (1992 – 2014) including 37,494 individuals. Random-effects logistic regression analysis was used to examine the relationship between the presence of a living will and a range of individual time-varying characteristics, including time to death, and several time-invariant characteristics. End-of-life planning depends on several patient characteristics and circumstances, with socio-economic and racial/ethnic background having the largest effects. The probability of having a living rises sharply late in life, as we would expect, and is further modified by the patient’s proximity to death. The dying process, exerts a stronger influence on end-of-life planning than does the aging. Understanding differences that increase end-of-life planning is important to incentivize patients’ participation. Advance planning should be encouraged and accessible to people of all ages as it is inevitable for the provision of patient-centered and cost-effective care. Not applicable. This is a nicely done national study that highlights the impact of socio-economic factors and race/ethnicity on advance care planning.
登录
查看更多内容
影响因子：
6.3
作者：
Gupta A;Jin G;Reich A;Prigerson HG;Ladin K;Kim D;Ashana DC;Cooper Z;Halpern SD;Weissman JS
通讯作者：
Weissman JS
DOI：
10.1093/geronb/gbs161
发表时间：
2013-03-01
影响因子：
6.2
作者：
Boerner, Kathrin;Carr, Deborah;Moorman, Sara
通讯作者：
Moorman, Sara
影响因子：
6.3
作者：
Silveira, Maria J.;Wiitala, Wyndy;Piette, John
通讯作者：
Piette, John
DOI：
10.1007/s10198-017-0926-2
发表时间：
2018-07
期刊：
The European journal of health economics : HEPAC : health economics in prevention and care
影响因子：
--
作者：
Hazra NC;Rudisill C;Gulliford MC
通讯作者：
Gulliford MC
影响因子：
120.7
作者：
Lunney, JR;Lynn, J;Guralnik, JM
通讯作者：
Guralnik, JM