生前预嘱规划行为的参与趋势及社会经济地位的作用。
Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status.
作者信息
Khosla Nidhi, Curl Angela L, Washington Karla T
机构信息
Department of Health Sciences, University of Missouri, Columbia, MO, USA
School of Social Work, University of Missouri, Columbia, MO, USA.
出版信息
Am J Hosp Palliat Care. 2016 Aug;33(7):651-7. doi: 10.1177/1049909115581818. Epub 2015 Apr 20.
We investigated the trends in advance care planning (ACP) between 2002 and 2010 and whether socioeconomic status explained such trends. We conducted a pooled regression analysis of Health and Retirement Study data from 6052 proxies of deceased individuals. We studied 3 ACP behaviors, discussing end-of-life (EOL) care preferences, providing written EOL care instructions, and appointing a durable power of attorney for health care (DPAHC). ACP increased by 12% to 23% every 2 years from 2002 to 2010. Higher household income increased the odds of having a DPAHC. Education was not associated with ACP. Socioeconomic status alone appears to play a very limited role in predicting ACP. Engagement in ACP likely depends on a constellation of many social and contextual factors.
我们调查了2002年至2010年间预先护理计划（ACP）的趋势，以及社会经济地位是否能解释这些趋势。我们对6052名已故个体的代理人的健康与退休研究数据进行了汇总回归分析。我们研究了三种ACP行为，即讨论临终（EOL）护理偏好、提供书面EOL护理指示以及指定医疗保健的持久授权书（DPAHC）。从2002年到2010年，ACP每两年增长12%至23%。较高的家庭收入增加了拥有DPAHC的几率。教育与ACP无关。仅社会经济地位在预测ACP方面似乎作用非常有限。参与ACP可能取决于许多社会和背景因素的综合作用。
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