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Hospice use among African Americans, Asians, Hispanics, and Whites: implications for practice

TitleHospice use among African Americans, Asians, Hispanics, and Whites: implications for practice
Publication TypeJournal Article
Year of Publication2012
AuthorsCarrion, IV, Park, NS, Lee, BS
JournalAm J Hosp Palliat CareAm J Hosp Palliat Care
Volume29
Pagination116-21
Date PublishedMar
ISBN Number1938-2715 (Electronic)<br/>1049-9091 (Linking)
Accession Number21636587
KeywordsAdolescent, Adult, African Americans/statistics & numerical data, Aged, Asian Americans/statistics & numerical data, Child, Child, Preschool, European Continental Ancestry Group/statistics & numerical data, Female, Florida, Healthcare Disparities/ ethnology/statistics & numerical data, Hispanic Americans/statistics & numerical data, Hospice Care/trends/ utilization, Humans, Infant, Infant, Newborn, Male, Middle Aged, Oceanic Ancestry Group/statistics & numerical data, Sex Distribution, Young Adult
AbstractOBJECTIVE: This study examined the characteristics of individuals in hospice care by racial/ethnic groups. METHODS: A total of 22,936 patients served by a hospice in Central Florida during a four-year period, from 2002 to 2006, were included. Of these, 80.6% were White, 9.6% were Black/African-American, 9.3% were Hispanic and 0.5% were Asian American/Pacific Islander. We examined the associations between the characteristics of hospice users and race/ethnicity, and change of hospice user characteristics over time using chi-square and ANOVA tests. RESULTS: More females than males were represented. Spouse caregivers were most common for Whites (35%) and Asian/Pacific Islanders (36%). However, "other" (41%) caregivers were most frequent for African Americans and daughters (33%) were most often caregivers for Hispanics. Cancer was the primary diagnosis across the four groups. Racial/ethnic minorities were more likely to rely on Medicaid than Whites (10-70% vs. 4%) and African Americans were most likely to be transferred from hospital (57%), whereas Whites were referred from assisted living/nursing homes more frequently than others(16% vs. 7-10%). CONCLUSION: As the hospice settings become more racially/ethnically diverse, it is essential to attend to the different circumstances and needs of the various groups in providing optimal care.
Ethno Med: