Suppr超能文献

临终规划取决于社会经济和种族背景:来自美国健康与退休研究(HRS)的证据。

End-of-Life Planning Depends on Socio-Economic and Racial Background: Evidence from the US Health and Retirement Study (HRS).

机构信息

Imperial College London (M.O., E.M.), Department of Surgery and Cancer, London, UK.

Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School (H.W.), Boston, Massachusetts, USA; Department of Medicine, Cardiology Section, VA Boston Healthcare System (H.W.), Boston, Massachusetts, USA.

出版信息

J Pain Symptom Manage. 2021 Dec;62(6):1198-1206. doi: 10.1016/j.jpainsymman.2021.05.018. Epub 2021 May 29.

Abstract

CONTEXT

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.

OBJECTIVE

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.

METHODS

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.

RESULTS

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 will 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.

CONCLUSIONS

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.

摘要

背景

美国人强烈倾向于参与他们的医疗保健决策,但他们往往无法参与他们的临终关怀决策。

目的

研究决定临终关怀计划的因素;包括个人的衰老和死亡过程、健康状况以及社会经济和种族/民族背景的影响。

方法

使用来自健康与退休研究(1992-2014 年)的数据进行美国观察性队列研究,包括 37494 人。随机效应逻辑回归分析用于检查存在生前遗嘱与一系列个体时变特征之间的关系,包括死亡时间和几个时不变特征。

结果

临终关怀计划取决于几个患者特征和情况,社会经济和种族/民族背景的影响最大。如我们所预期的那样,生前遗嘱的可能性在生命的后期急剧上升,并且进一步受到患者接近死亡的影响。死亡过程对临终关怀计划的影响比衰老更大。

结论

了解增加临终关怀计划的差异对于激励患者的参与非常重要。应鼓励并为所有年龄段的人提供预先计划,因为这对于提供以患者为中心和具有成本效益的护理是不可避免的。

相似文献

1
End-of-Life Planning Depends on Socio-Economic and Racial Background: Evidence from the US Health and Retirement Study (HRS).
J Pain Symptom Manage. 2021 Dec;62(6):1198-1206. doi: 10.1016/j.jpainsymman.2021.05.018. Epub 2021 May 29.
2
Unintended Harm? Race Differences in the Relationship Between Advance Care Planning and Psychological Distress at the End of Life.
J Pain Symptom Manage. 2018 Nov;56(5):752-759. doi: 10.1016/j.jpainsymman.2018.08.001. Epub 2018 Aug 8.
3
Racial and ethnic differences in end-of-life care in the United States: Evidence from the Health and Retirement Study (HRS).
SSM Popul Health. 2018 Nov 30;7:100331. doi: 10.1016/j.ssmph.2018.100331. eCollection 2019 Apr.
4
Determinants of demand for total hip and knee arthroplasty: a systematic literature review.
BMC Health Serv Res. 2012 Jul 30;12:225. doi: 10.1186/1472-6963-12-225.
6
Impact of advance care planning on dying in hospital: Evidence from urgent care records.
PLoS One. 2020 Dec 9;15(12):e0242914. doi: 10.1371/journal.pone.0242914. eCollection 2020.
7
End-of-life care discussions with healthcare providers and dying experiences: A latent class analysis using the health and retirement study.
Arch Gerontol Geriatr. 2024 Apr;119:105319. doi: 10.1016/j.archger.2023.105319. Epub 2023 Dec 18.
9
End of Life Care: A Scoping Review of Experiences of Advance Care Planning for People with Dementia.
Dementia (London). 2019 Apr;18(3):825-845. doi: 10.1177/1471301216676121. Epub 2016 Nov 7.
10
Does Volunteering Experience Influence Advance Care Planning in Old Age?
J Gerontol Soc Work. 2016 Jul;59(5):423-438. doi: 10.1080/01634372.2016.1230567. Epub 2016 Sep 3.

引用本文的文献

2
Effect of ethnicity and socioeconomic deprivation on uptake of renal supportive care and dialysis decision-making in older adults.
Clin Kidney J. 2023 May 15;16(11):2164-2173. doi: 10.1093/ckj/sfad108. eCollection 2023 Nov.
3
The Mapping of Influencing Factors in the Decision-Making of End-of-Life Care Patients: A Systematic Scoping Review.
Indian J Palliat Care. 2023 Jul-Sep;29(3):234-242. doi: 10.25259/IJPC_292_2022. Epub 2023 Jul 5.

本文引用的文献

1
Association of Billed Advance Care Planning with End-of-Life Care Intensity for 2017 Medicare Decedents.
J Am Geriatr Soc. 2020 Sep;68(9):1947-1953. doi: 10.1111/jgs.16683. Epub 2020 Aug 27.
2
Advance Directives/Care Planning: Clear, Simple, and Wrong.
J Palliat Med. 2020 Jul;23(7):878-879. doi: 10.1089/jpm.2020.0272. Epub 2020 May 21.
3
Determinants of health care costs in the senior elderly: age, comorbidity, impairment, or proximity to death?
Eur J Health Econ. 2018 Jul;19(6):831-842. doi: 10.1007/s10198-017-0926-2. Epub 2017 Aug 30.
4
Knowledge regarding advance care planning: A systematic review.
Arch Gerontol Geriatr. 2017 Nov;73:133-142. doi: 10.1016/j.archger.2017.07.012. Epub 2017 Jul 27.
5
Approximately One In Three US Adults Completes Any Type Of Advance Directive For End-Of-Life Care.
Health Aff (Millwood). 2017 Jul 1;36(7):1244-1251. doi: 10.1377/hlthaff.2017.0175.
6
Barriers to Access to Palliative Care.
Palliat Care. 2017 Feb 20;10:1178224216688887. doi: 10.1177/1178224216688887. eCollection 2017.
7
Differences between biological and chronological age-at-death in human skeletal remains: A change of perspective.
Am J Phys Anthropol. 2017 Aug;163(4):671-695. doi: 10.1002/ajpa.23236. Epub 2017 May 3.
8
Predicting Racial and Ethnic Disparities in Advance Care Planning Using the Integrated Behavioral Model.
Omega (Westport). 2017 Jan 1:30222817691286. doi: 10.1177/0030222817691286.
9
Medicare and End-of-Life Care.
JAMA. 2016 Nov 1;316(17):1754. doi: 10.1001/jama.2016.15577.
10
Race Differences in Advance Directive Completion.
J Aging Health. 2017 Mar;29(2):324-342. doi: 10.1177/0898264316635568. Epub 2016 Jul 9.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验