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- Title
Regional Practice Patterns and Racial/Ethnic Differences in Intensity of End-of-Life Care.
- Authors
Wang, Shi‐Yi; Hsu, Sylvia H.; Huang, Siwan; Doan, Kathy C.; Gross, Cary P.; Ma, Xiaomei; Wang, Shi-Yi
- Abstract
<bold>Objective: </bold>To examine whether regional practice patterns impact racial/ethnic differences in intensity of end-of-life care for cancer decedents.<bold>Data Sources: </bold>The linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database.<bold>Study Design: </bold>We classified hospital referral regions (HRRs) based on mean 6-month end-of-life care expenditures, which represented regional practice patterns. Using hierarchical generalized linear models, we examined racial/ethnic differences in the intensity of end-of-life care across levels of HRR expenditures.<bold>Principal Findings: </bold>There was greater variation in intensity of end-of-life care among Hispanics, Asians, and whites in high-expenditure HRRs than in low-expenditure HRRs.<bold>Conclusions: </bold>Local practice patterns may influence racial/ethnic differences in end-of-life care.
- Subjects
UNITED States; HEALTH equity; RACIAL differences; MEDICAL decision making; PUBLIC health; SOCIODEMOGRAPHIC factors; STATISTICS on Black people; STATISTICS on Hispanic Americans; MEDICAL care cost statistics; ASIANS; COMPARATIVE studies; REPORTING of diseases; ETHNIC groups; INSURANCE; RESEARCH methodology; MEDICAL cooperation; MEDICAL referrals; MEDICARE; RESEARCH; RESEARCH funding; TERMINAL care; TUMORS; WHITE people; EVALUATION research
- Publication
Health Services Research, 2018, Vol 53, Issue 6, p4291
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12998