title: Racial disparities in receipt of hospice services among nursing home residents.
abstract: This study examined the relationship between race and advance care planning, hospitalization, and death among nursing home residents receiving hospice care. Secondary data analysis using the 2007 Minimum Data Set (MDS) was used to identify documentation of these activities for White, Black, Hispanic, and Asian residents with linear regression models fitted to each dependent variable. Across different types of advance directives, compared to White nursing home residents, Black, Hispanic, and Asian residents who received hospice services were significantly less likely overall to have documented advance directives. All racial groups were also more likely to experience hospitalization while on hospice, regardless of whether they had a documented "do not hospitalize" order. As nursing homes become more diverse, recognizing differences in hospice use and end-of-life planning will continue to increase in importance.
authors.affiliation: School of Aging Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA kfrahm@usf.edu.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Frahm
authors.affiliation: School of Aging Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Brown
authors.affiliation: School of Aging Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Hyer
mesh_terms: D032722:Advance Care Planning / Q000706:statistics & numerical data; D001741:Black or African American / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D001213:Asian / Q000706:statistics & numerical data; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology* / Q000706:statistics & numerical data; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D017051:Hospice Care / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data*; D014481:United States; D044465:White People / Q000706:statistics & numerical data
keywords: advance directives; disparities; end of life; hospice; nursing homes; race