Literature DB >> 24185162

An examination of end-of-life care in a safety net hospital system: a decade in review.

Ramona L Rhodes, Lei Xuan, M Elizabeth Paulk, Heather Stieglitz, Ethan A Halm.   

Abstract

OBJECTIVES: To examine patterns of use of end-of-life care in patients receiving treatment at a large, urban safety-net hospital from 2000 to 2010.
METHODS: Data from the Parkland Hospital palliative care database, which tracked all consults for this period, were analyzed. Logistic regression was used to identify predictors of hospice use, and Cox proportional hazards modeling to examine survival.
RESULTS: There were 5,083 palliative care consults over the study period. More patients were Black (41%) or White (31%), and younger than 65 years old (75%). Cancer patients or those who received palliative care services longer were more likely to receive hospice; those who had no form of health care assistance were less likely. There were no racial/ethnic differences in hospice use.
CONCLUSION: In this cohort, there were no racial/ethnic disparities in hospice use. Those who had no form of health care assistance were less likely to receive hospice.

Entities:  

Mesh:

Year:  2013        PMID: 24185162      PMCID: PMC7292336          DOI: 10.1353/hpu.2013.0179

Source DB:  PubMed          Journal:  J Health Care Poor Underserved        ISSN: 1049-2089


  25 in total

1.  Hospice usage by minorities in the last year of life: results from the National Mortality Followback Survey.

Authors:  K Allen Greiner; Subashan Perera; Jasjit S Ahluwalia
Journal:  J Am Geriatr Soc       Date:  2003-07       Impact factor: 5.562

2.  The Balm of Gilead Project: a demonstration project on end-of-life care for safety-net populations.

Authors:  Elizabeth A Kvale; Beverly R Williams; James L Bolden; Carol G Padgett; F Amos Bailey
Journal:  J Palliat Med       Date:  2004-06       Impact factor: 2.947

3.  Hospice use among urban Black and White U.S. nursing home decedents in 2006.

Authors:  Michael J Lepore; Susan C Miller; Pedro Gozalo
Journal:  Gerontologist       Date:  2010-11-12

4.  Racial disparities in intensity of care at the end-of-life: are trauma patients the same as the rest?

Authors:  Zara Cooper; Frederick P Rivara; Jin Wang; Ellen J MacKenzie; Gregory J Jurkovich
Journal:  J Health Care Poor Underserved       Date:  2012-05

Review 5.  Racial/ethnic disparities in hospice care: a systematic review.

Authors:  Lilian Liou Cohen
Journal:  J Palliat Med       Date:  2008-06       Impact factor: 2.947

6.  Racial differences in hospice use and in-hospital death among Medicare and Medicaid dual-eligible nursing home residents.

Authors:  Jung Kwak; William E Haley; David A Chiriboga
Journal:  Gerontologist       Date:  2008-02

7.  "We don't carry that"--failure of pharmacies in predominantly nonwhite neighborhoods to stock opioid analgesics.

Authors:  R S Morrison; S Wallenstein; D K Natale; R S Senzel; L L Huang
Journal:  N Engl J Med       Date:  2000-04-06       Impact factor: 91.245

8.  Regional variations in racial differences in the treatment of elderly patients hospitalized with acute myocardial infarction.

Authors:  Saif S Rathore; Frederick A Masoudi; Edward P Havranek; Harlan M Krumholz
Journal:  Am J Med       Date:  2004-12-01       Impact factor: 4.965

9.  Knowledge, attitudes, and beliefs about end-of-life care among inner-city African Americans and Latinos.

Authors:  Wendi Born; K Allen Greiner; Eldonna Sylvia; James Butler; Jasjit S Ahluwalia
Journal:  J Palliat Med       Date:  2004-04       Impact factor: 2.947

10.  Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgment, religiousness, and treatment preferences.

Authors:  Alexander K Smith; Ellen P McCarthy; Elizabeth Paulk; Tracy A Balboni; Paul K Maciejewski; Susan D Block; Holly G Prigerson
Journal:  J Clin Oncol       Date:  2008-09-01       Impact factor: 44.544

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  5 in total

1.  Initial Development of a Computer Algorithm to Identify Patients With Breast and Lung Cancer Having Poor Prognosis in a Safety Net Hospital.

Authors:  Ramona L Rhodes; Sabiha Kazi; Lei Xuan; Ruben Amarasingham; Ethan A Halm
Journal:  Am J Hosp Palliat Care       Date:  2015-07-02       Impact factor: 2.500

2.  Use and Predictors of End-of-Life Care Among HIV Patients in a Safety Net Health System.

Authors:  Ramona L Rhodes; Fiza Nazir; Sonya Lopez; Lei Xuan; Ank E Nijhawan; Nicole E Alexander-Scott; Ethan A Halm
Journal:  J Pain Symptom Manage       Date:  2015-09-16       Impact factor: 3.612

3.  Racial Differences in Processes of Care at End of Life in VA Medical Centers: Planned Secondary Analysis of Data from the BEACON Trial.

Authors:  Kathryn L Burgio; Beverly R Williams; J Nicholas Dionne-Odom; David T Redden; Hyunjin Noh; Patricia S Goode; Elizabeth Kvale; Marie Bakitas; F Amos Bailey
Journal:  J Palliat Med       Date:  2016-02       Impact factor: 2.947

4.  Understanding Underuse of Advance Care Planning Among a Cohort of African American Patients With Advanced Cancer: Formative Research That Examines Gaps in Intent to Discuss Options for Care.

Authors:  Ramona L Rhodes; Nkemdirim C E Ukoha; Kimberly A Williams; Bryan Elwood; Tori Knox-Rice; Simon C Lee; Jasmin A Tiro; Celette Sugg Skinner; Ethan A Halm
Journal:  Am J Hosp Palliat Care       Date:  2019-04-21       Impact factor: 2.500

Review 5.  Disparities in Palliative and Hospice Care and Completion of Advance Care Planning and Directives Among Non-Hispanic Blacks: A Scoping Review of Recent Literature.

Authors:  Mohsen Bazargan; Shahrzad Bazargan-Hejazi
Journal:  Am J Hosp Palliat Care       Date:  2020-12-08       Impact factor: 2.500

  5 in total

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