Documentation of advance directives among home health and hospice patients: United States, 2007

Helaine E. Resnick, Susan Hickman, Gregory L. Foster

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

This report provides nationally representative data on documentation of advance directives (ADs) among home health (HH) and hospice patients. Advance directives were recorded for 29% of HH patients and 90% of hospice discharges. Among HH patients, increasing age and use of assistive devices were associated with greater odds of having an AD, while being Hispanic or black (relative to white) and enrolled in Medicaid decreased the odds of having ADs. Among hospice discharges, being enrolled in Medicare and having 4 or 5 activities of daily living (ADL) limitations were associated with higher odds of ADs while depression, use of emergency services, and being black (relative to White) were associated with lower odds. Even after adjustment for potentially confounding factors, racial differences persist in AD documentation in both care settings.

Original languageEnglish (US)
Pages (from-to)26-35
Number of pages10
JournalAmerican Journal of Hospice and Palliative Medicine
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2012

Keywords

  • advance care planning
  • advance directives
  • end of life
  • epidemiologic survey
  • home care
  • hospice

ASJC Scopus subject areas

  • Medicine(all)

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