Lower Use of Hospice by Cancer Patients who Live in Minority Versus White Areas

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Lower Use of Hospice by Cancer Patients who Live in Minority Versus White Areas

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dc.contributor.author Earle, Craig C.
dc.contributor.author Orav, John E.
dc.contributor.author Brawarsky, Phyllis
dc.contributor.author Neville, Bridget A.
dc.contributor.author Haas, Jennifer S.
dc.contributor.author Acevedo Garcia, Dolores
dc.contributor.author Williams, David R.
dc.date.accessioned 2012-01-01T22:40:01Z
dc.date.issued 2007
dc.identifier.citation Haas, Jennifer S., Craig C. Earle, John E. Orav, Phyllis Brawarsky, Bridget A. Neville, Dolores Acevedo-Garcia, and David R. Williams. 2007. Lower use of hospice by cancer patients who live in minority versus white areas. Journal of General Internal Medicine 22(3): 396-399. en_US
dc.identifier.issn 0884-8734 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:5978733
dc.description.abstract Background: Although hospice care can alleviate suffering at the end of life for patients with cancer, it remains underutilized, particularly by African Americans and Hispanics. Objective: To examine whether the racial composition of the census tract where an individual resides is associated with hospice use.Design Retrospective analysis of the Surveillance, Epidemiology, and End Results–Medicare file for individuals dying from breast, colorectal, lung, or prostate cancer (n = 70,669). Measurements: Hospice use during the 12 months before death. Results: Hospice was most commonly used by individuals who lived in areas with fewer African-American and Hispanic residents (47%), and was least commonly used by individuals who lived in areas with a high percentage of African-American and Hispanic residents (35%). Hispanics (odds ratio 0.51, 95% confidence interval 0.29–0.91) and African Americans (0.56, 0.44–0.71) were less likely to use hospice if they lived in a census tract with a high percentage of both African Americans and Hispanics than if they lived in a low minority tract. African Americans and whites were less likely to receive hospice care if they lived in a census tract with a high percentage of Hispanics than if they lived in a low minority area. Conclusions: Increasing hospice use may require interventions to improve the delivery of hospice care in minority communities. en_US
dc.language.iso en_US en_US
dc.publisher Springer-Verlag en_US
dc.relation.isversionof doi:10.1007/s11606-006-0034-y en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1824733/pdf/ en_US
dash.license LAA
dc.subject race en_US
dc.subject ethnicity en_US
dc.subject hospice en_US
dc.subject segregation en_US
dc.title Lower Use of Hospice by Cancer Patients who Live in Minority Versus White Areas en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Journal of General Internal Medicine en_US
dash.depositing.author Haas, Jennifer S.
dc.date.available 2012-01-01T22:40:01Z
dash.affiliation.other SPH^Society Human Development and Health en_US
dash.affiliation.other HMS^Medicine-Brigham and Women's Hospital en_US

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