Documentation of Advance Directives Among Home Health and Hospice Patients: United States, 2007-Reference-Cited by-同舟云学术

Documentation of Advance Directives Among Home Health and Hospice Patients: United States, 2007

Published:2011-05-15 Issue:1 Volume:29 Page:26-35
ISSN:1049-9091
Container-title:American Journal of Hospice and Palliative Medicine®
language:en
Short-container-title:Am J Hosp Palliat Care

Author:

Resnick Helaine E.¹²,Hickman Susan³,Foster Gregory L.¹

Affiliation:

1. LeadingAge Center for Applied Research, Washington, DC, USA

2. Department of Medicine, Georgetown University, Washington, DC, USA

3. School of Nursing, Indiana University, Indianapolis, IN, USA

Abstract

This report provides nationally representative data on documentation of advance directives (ADs) among home health (HH) and hospice patients. Advance directives were recorded for 29% of HH patients and 90% of hospice discharges. Among HH patients, increasing age and use of assistive devices were associated with greater odds of having an AD, while being Hispanic or black (relative to white) and enrolled in Medicaid decreased the odds of having ADs. Among hospice discharges, being enrolled in Medicare and having 4 or 5 activities of daily living (ADL) limitations were associated with higher odds of ADs while depression, use of emergency services, and being black (relative to White) were associated with lower odds. Even after adjustment for potentially confounding factors, racial differences persist in AD documentation in both care settings.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1049909111407627

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