Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Racial differences in end-of-life care for patients with AIDS.

U Sambamoorthi1, J Walkup, E McSpiritt

  • 1Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey, USA.

AIDS & Public Policy Journal
|August 23, 2002
PubMed
Summary

Persons with AIDS received inadequate pain management, with racial minorities facing greater disparities. A specialized Medicaid waiver program improved pain treatment and reduced hospital deaths for patients with AIDS.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

SDoH Impact on Periodontal Disease Using Machine Learning and Dental Records.

Journal of dental research·2025
Same author

Body-site effect on CPM efficiency in healthy subjects: Central vs. peripheral stimulation.

Heliyon·2024
Same author

Brine-driven destruction of clay minerals in Gale crater, Mars.

Science (New York, N.Y.)·2021
Same author

Asthma-chronic obstructive pulmonary disease overlap and cost-related medication non-adherence among older adults in the United States.

The Journal of asthma : official journal of the Association for the Care of Asthma·2020
Same author

All-cause mortality among males living with and without HIV initiating long-term opioid therapy, and its association with opioid dose, opioid interruption and other factors.

Drug and alcohol dependence·2020
Same author

Evidence for Multiple Diagenetic Episodes in Ancient Fluvial-Lacustrine Sedimentary Rocks in Gale Crater, Mars.

Journal of geophysical research. Planets·2020

Area of Science:

  • Public Health
  • Health Services Research
  • Palliative Care

Background:

  • Access to adequate pain management and preferred place of death remains a critical concern for individuals with Acquired Immunodeficiency Syndrome (AIDS).
  • Racial and ethnic disparities in healthcare access and outcomes are well-documented, necessitating investigation within the context of end-of-life care for persons with AIDS.
  • Understanding the factors influencing pain treatment and place of death is crucial for improving palliative care services.

Purpose of the Study:

  • To examine the place of death and adequacy of pain treatment in the final months of life for persons with AIDS.
  • To investigate variations in pain management and place of death based on patient characteristics, including race/ethnicity, gender, and mode of transmission.
  • To assess the impact of a home- and community-based Medicaid waiver program on pain treatment and place of death among individuals with AIDS.
Keywords:
Death and EuthanasiaEmpirical ApproachHealth Care and Public Health

Related Experiment Videos

Main Methods:

  • Utilized merged AIDS surveillance data and paid Medicaid claims data from 1991 to 1998.
  • Employed multivariate logistic regression analysis to examine associations between patient characteristics, healthcare utilization, and outcomes.
  • Compared outcomes between beneficiaries of a statewide HIV/AIDS-specific Medicaid waiver program and the general Medicaid population.

Main Results:

  • Approximately 50% of individuals received outpatient analgesic prescriptions in the last three months of life, with 62% dying in a hospital.
  • Significant disparities in pain treatment and place of death were observed between racial minority groups and White individuals.
  • Enrollment in the HIV/AIDS-specific Medicaid waiver program was associated with higher rates of pain treatment and a lower likelihood of hospital death.

Conclusions:

  • Racial minorities, particularly African-Americans, experienced disadvantages in accessing end-of-life healthcare services, including pain management.
  • The Medicaid waiver program demonstrated potential in mitigating racial disparities and improving palliative care by increasing pain medication use and reducing hospital deaths.
  • Home care services and case management within waiver programs appear effective in facilitating palliative care and improving end-of-life experiences for persons with AIDS.