在只有医疗补助和双重资格的死者中,临终关怀使用的种族和种族差异
Julie Robison1, Noreen Shugrue1, Ellis Dillon1
1UConn Health, Center on Aging, Farmington, Connecticut.
JAMA health forum
|December 8, 2023
概括
在低收入的医疗补助人口中,临终关怀的准入和停留时间 (LOS) 根据种族和种族而异. 非西班牙裔黑人和西班牙裔个人使用临终关怀医院的比例较低,这引发了公平问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 老年学是一门学科.
背景情况:
- 临终关怀改善了绝症患者的生活质量,更长的停留时间 (LOS) 更有益.
- 大多数临终关怀研究都集中在医疗保险受益者身上,在多元化,低收入的医疗补助人口中了解临终关怀使用的差距.
研究的目的:
- 根据种族和种族来比较宿舍利用率和LOS.
- 分析仅限于医疗补助的个人和双重获得医疗保险和医疗补助 (双重) 的人之间的这些差异.
主要方法:
- 使用康涅狄格州医疗补助和医疗保险数据 (2015-2020) 进行了回顾性,基于人口的队列研究.
- 包括在2017-2020年间去世的有常见住院诊断的医疗补助受益人.
- 根据种族/族裔,根据年龄,性别和护理机构停留的控制,检查了临终关怀的使用 (是/不是) 和LOS (短与长)
主要成果:
- 与非西班牙裔白人死者相比,非西班牙裔黑人和西班牙裔死者的临终关怀使用率较低.
- 西班牙裔死者也有更高的机会更短的临终关怀 LOS.
- 护理机构的停留影响了临终关怀的不同使用:仅医疗补助的几率更高,双重的几率更低.
结论:
- 调查结果突出显示,在医疗补助计划中,西班牙裔和非西班牙裔黑人个人在临终关怀的机会和时间上存在显著的差异.
- 对于这些人群来说,存在与临终关怀的知识,获取和接受相关的潜在障碍.
- 进一步的研究至关重要,以确定宿舍使用的障碍和促进因素,特别是对于护理机构中的个人.
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