Racial disparity in hospice use in the United States in 2002
- 1 April 2008
- journal article
- research article
- Published by SAGE Publications in Palliative Medicine
- Vol. 22 (3), 205-213
- https://doi.org/10.1177/0269216308089305
Abstract
We used complete Centers for Disease Control death certificate records and the Centers for Medicare and Medicaid Services 100% Standard Analytic File for hospice claims for 2002 to examine differences in hospice utilization between African-American and white decedents living in the United States. White decedents were more likely to use hospice in the year before their death than African-American decedents (29% vs 22%). Cause-specific hospice utilization rates among women were consistently higher than among men within a given race. African-American decedents were consistently less likely to use hospice than white decedents for almost all conditions. Hospice utilization was lower among African-American than among white decedents in 31 of 40 states. The higher the overall hospice utilization in a state, the less the positive difference between white and African-American usage rates; that is, the more accepted hospice is, as measured by ‘market share’, the lower the racial disparity in its use.Keywords
This publication has 21 references indexed in Scilit:
- Trends in socioeconomic disparities in health care quality in four countriesInternational Journal for Quality in Health Care, 2007
- Comparing Hospice and Nonhospice Patient Survival Among Patients Who Die Within a Three-Year WindowJournal of Pain and Symptom Management, 2007
- Differences in Hospice Use Between Black and White Patients During the Period 1992 through 2000Medical Care, 2006
- Disease and Disadvantage in the United States and in EnglandJAMA, 2006
- Widowhood and RaceAmerican Sociological Review, 2006
- Ethnic Differences in the Place of Death of Elderly Hospice EnrolleesJournal of the American Geriatrics Society, 2005
- Place Of Death: U.S. Trends Since 1980Health Affairs, 2004
- Inequities in access to medical care in five countries: findings from the 2001 Commonwealth Fund International Health Policy SurveyHealth Policy, 2004
- Factors Associated With Site of DeathMedical Care, 2003
- Survival of Medicare Patients after Enrollment in Hospice ProgramsNew England Journal of Medicine, 1996