title: End-of-Life Care for Hispanic Children: A Study of California Medicaid Beneficiaries.
abstract: More than 8,000 Hispanic children die annually in the United States; yet little is known about the end-of-life care utilized. The purpose of this study was to examine the children and family characteristics associated with end-of-life care for Hispanic children.
  
  
  
  A sample of 370 Hispanic children was created, using the 2009-2010 California Medicaid data. The relationship between child and family characteristics and end-of-life care utilization (i.e., hospice enrollment, emergency room utilization, hospital admissions) was analyzed using multivariate regression.
  
  
  
  Pediatric hospice accessibility (p < .05), palliative care policy (p < .01), congenital anomalies (p < .01), and cardiovascular conditions (p < .01) were related to hospice enrollment. Usual source of care (p < .001), functional status (p < .001), palliative care policy (p < .01), and private insurance (p < .01) were associated with emergency room utilization, while usual source of care (p < .001), cancer (p < .001), and disability status (p < .01) corresponded with hospital admissions.
  
  
  
  Nursing practices aimed at engaging Hispanic families in their community are critical to end-of-life care utilization for Hispanic children.
authors.affiliation: University of Tennessee, Knoxville, TN, USA llindley@utk.edu.
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Lindley
authors.affiliation: University of Tennessee, Knoxville, TN, USA.
authors.forename: Laura V
authors.initials: LV
authors.lastname: Trujillo
mesh_terms: D000293:Adolescent; D002140:California; D002318:Cardiovascular Diseases / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000401:mortality; D003695:Delivery of Health Care; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D017051:Hospice Care / Q000706:statistics & numerical data*; D006738:Hospices / Q000706:statistics & numerical data*; D006760:Hospitalization; D006801:Humans; D007223:Infant; D008297:Male; D008484:Medicaid; D009369:Neoplasms / Q000401:mortality; D010166:Palliative Care / Q000706:statistics & numerical data*; D057766:Policy; D013727:Terminal Care / Q000379:methods*; D014481:United States; D055815:Young Adult
keywords: Hispanics; emergency room; end-of-life care; hospice care; hospital admissions; pediatrics