TY - JOUR
T1 - Intensity of acute care services at the end of life
T2 - Nonclinical determinants of treatment variation in an older adult population
AU - Ohta, Brenda
AU - Kronenfeld, Jennie Jacobs
PY - 2011/6/1
Y1 - 2011/6/1
N2 - Technological advances in medicine have led to increasing complexity in health care decision making, and subsequently, greater opportunity for variation in the delivery of end-of-life care. Factors such as age, race/ethnicity, physician and hospital system characteristics, and geographic location have been found to be strong predictors of variation in acute interventions before death, even when controlling for medical acuity. The study presented here explores factors affecting health care utilization at end of life for a hospitalized older adult population in a major metropolitan area of Arizona. The study results reveal that effects of age, minority status, health plan, and hospital characteristics all affect hospital utilization and intensity of care above and beyond clinical factors.
AB - Technological advances in medicine have led to increasing complexity in health care decision making, and subsequently, greater opportunity for variation in the delivery of end-of-life care. Factors such as age, race/ethnicity, physician and hospital system characteristics, and geographic location have been found to be strong predictors of variation in acute interventions before death, even when controlling for medical acuity. The study presented here explores factors affecting health care utilization at end of life for a hospitalized older adult population in a major metropolitan area of Arizona. The study results reveal that effects of age, minority status, health plan, and hospital characteristics all affect hospital utilization and intensity of care above and beyond clinical factors.
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U2 - 10.1089/jpm.2010.0360
DO - 10.1089/jpm.2010.0360
M3 - Article
C2 - 21548789
AN - SCOPUS:79958199618
SN - 1096-6218
VL - 14
SP - 722
EP - 728
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
IS - 6
ER -