Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure

Kathleen Unroe, Melissa A. Greiner, Kimberly S. Johnson, Lesley H. Curtis, Soko Setoguchi

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: We examined racial differences in patterns of care and resource use among Medicare beneficiaries with heart failure after enrollment in hospice. Methods: We conducted a retrospective cohort study of a 5% nationally representative sample of Medicare beneficiaries with heart failure who died between 2000 and 2008. Outcomes of interest included adjusted and unadjusted associations of race with hospice enrollment for any diagnosis, disenrollment, and resource use after enrollment. Results: The study population included 219,275 Medicare beneficiaries with heart failure, of whom 31.4% of white patients and 24.3% of nonwhite patients enrolled in hospice in the last 6 months of life (P <.001). Despite increasing rates of hospice use for both white and nonwhite patients, nonwhite patients were 20% less likely to enroll in hospice (adjusted relative risk, 0.80; 95% CI, 0.79-0.82). After enrollment, nonwhite patients were more likely to have an emergency department visit (42.6% vs 33.9%; P

Original languageEnglish (US)
JournalAmerican Heart Journal
Volume163
Issue number6
DOIs
StatePublished - Jun 2012
Externally publishedYes

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Hospices
Medicare
Heart Failure
Hospital Emergency Service
Cohort Studies
Retrospective Studies
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure. / Unroe, Kathleen; Greiner, Melissa A.; Johnson, Kimberly S.; Curtis, Lesley H.; Setoguchi, Soko.

In: American Heart Journal, Vol. 163, No. 6, 06.2012.

Research output: Contribution to journalArticle

Unroe, Kathleen ; Greiner, Melissa A. ; Johnson, Kimberly S. ; Curtis, Lesley H. ; Setoguchi, Soko. / Racial differences in hospice use and patterns of care after enrollment in hospice among Medicare beneficiaries with heart failure. In: American Heart Journal. 2012 ; Vol. 163, No. 6.
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