racial differences at end-of-life & use of hospice services

Notes

• more non-Hispanic Blacks (43.5%) & Hispanic Whites (43.4%) die in a hospital vs non-Hispanic Whites (33.7%)
• Blacks are 23% less likely the Whites to die at home rather than in a hospital[1]
• Blacks are 35% less likely to die in a nursing home that Whites
• Blacks are 28% less likely to die in hospice than Whites
• Black, Hispanic, & Asian patients more likely to have hospice revoked (disenroll) due to acute-care hospital admission than non-Hispanic Whites
• Blacks & Hispanics are more likely to receive life support at the end-of-life than Whites
• Blacks & Hispanics are less likely to engage in end-of-life planning than Whites
  • Blacks & Hispanic who complete advance directives tend to do so 19 months later than Whites
• Spanish-speaking Hispanic patients are more likely to change their code status to do not resuscitate/do not intubate than non-Hispanic White & English-speaking Hispanic patients
• Black patients are more likely to prefer aggressive care

Additional terms

• end of life
• hospice