Key result
Black and Hispanic Medicare beneficiaries with heart failure used hospice care significantly less than white patients (adjusted OR for blacks 0.59, 95% CI 0.47-0.73; OR for Hispanics 0.49).
Why the study?
Does Black or Hispanic race/ethnicity reduce the likelihood of hospice use in Medicare beneficiaries with heart failure compared to White race/ethnicity?
Population
98,258 Medicare beneficiaries 66 years and older with a diagnosis of heart failure who had at least 1…
Comparison
Black or Hispanic race/ethnicity vs White race/ethnicity
Design
Cohort
Follow-up
1 year
Authors
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May indicate barriers to hospice for minority HF patients; hypothesis-generating for equity-focused interventions.
Cohort (n=98,258)
Yes
Does Black or Hispanic race/ethnicity reduce the likelihood of hospice use in Medicare beneficiaries with heart failure compared to White race/ethnicity?
Odds Ratio: 0.59 (95% CI 0.47–0.73)
Black and Hispanic Medicare beneficiaries with heart failure are significantly less likely to utilize hospice care compared to White beneficiaries, highlighting significant racial and ethnic disparities in end-of-life care.
Jane L. Givens (2010) conducted a cohort in Heart failure (n=98,258). Black or Hispanic race/ethnicity vs. White race/ethnicity was evaluated on Hospice entry for heart failure (OR 0.59, 95% CI 0.47-0.73). Black and Hispanic Medicare beneficiaries with heart failure used hospice care significantly less than white patients (adjusted OR for blacks 0.59, 95% CI 0.47-0.73; OR for Hispanics 0.49).
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