دورية أكاديمية
Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels.
| العنوان: | Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels. |
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| المؤلفون: | Rahemi Z; School of Nursing, Clemson University, Greenville, SC, USA., Malatyali A; Nursing Systems Department, College of Nursing, University of Central Florida, Orlando, FL, USA., Bacsu JR; School of Nursing, Thompson Rivers University, Kamloops, BC, Canada., Sefcik JS; College of Nursing and Health Professions, Drexel University College of Nursing and Health Professions, Philadelphia, PA, USA., Petrovsky DV; School of Nursing, Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA., Baker ZG; Edson College of Nursing and Health Innovation, Arizona State University, Tempe, AZ, USA., Ma KPK; Department of Family Medicine, University of Washington, Seattle, WA, USA., Smith ML; Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA., Adams SA; Department of Biobehavioral and Nursing Science, College of Nursing, University of South Carolina, Columbia, SC, USA. |
| المصدر: | Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2023 Dec; Vol. 42 (12), pp. 2294-2303. Date of Electronic Publication: 2023 Jul 31. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications for the Southern Gerontological Society Country of Publication: United States NLM ID: 8606502 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-4523 (Electronic) Linking ISSN: 07334648 NLM ISO Abbreviation: J Appl Gerontol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2001-> : Thousand Oaks, CA : Sage Publications for the Southern Gerontological Society Original Publication: Tampa, Fla. : The Southern Gerontologial Society, c1982- |
| مواضيع طبية MeSH: | Advance Care Planning* , Dementia*/therapy, Humans ; Aged ; Advance Directives ; Cross-Sectional Studies ; Delivery of Health Care ; Cognition ; Patient Acceptance of Health Care |
| مستخلص: | This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| References: | Geriatr Nurs. 2017 May - Jun;38(3):238-243. (PMID: 27964972) West J Nurs Res. 2019 Oct;41(10):1499-1516. (PMID: 30793665) JAMA. 2021 Oct 26;326(16):1575-1576. (PMID: 34623373) Palliat Care Soc Pract. 2020 Dec 7;14:2632352420975780. (PMID: 33336189) J Pain Symptom Manage. 2017 May;53(5):821-832.e1. (PMID: 28062339) BMC Palliat Care. 2022 Nov 6;21(1):194. (PMID: 36336690) Int J Environ Res Public Health. 2021 May 26;18(11):. (PMID: 34073398) J Cross Cult Gerontol. 2019 Jun;34(2):187-199. (PMID: 31073970) Ulster Med J. 2015 May;84(2):79-87. (PMID: 26170481) Palliat Med. 2018 Mar;32(3):668-681. (PMID: 28922625) J Appl Gerontol. 2022 Feb;41(2):371-379. (PMID: 33605185) Am J Hosp Palliat Care. 2021 Jun;38(6):547-556. (PMID: 32308012) JAMA. 2021 Dec 7;326(21):2133-2134. (PMID: 34874415) Am J Hosp Palliat Care. 2023 Nov;40(11):1182-1189. (PMID: 36541134) BMC Geriatr. 2021 Feb 27;21(1):145. (PMID: 33639856) JAMA. 2022 Jan 25;327(4):321-322. (PMID: 34994773) JAMA Intern Med. 2017 Jan 1;177(1):51-58. (PMID: 27893041) J Appl Gerontol. 2023 Jul;42(7):1404-1413. (PMID: 36710420) J Gerontol B Psychol Sci Soc Sci. 2011 Jul;66 Suppl 1:i162-71. (PMID: 21743047) Health Aff (Millwood). 2014 Apr;33(4):650-7. (PMID: 24711327) J Am Geriatr Soc. 2021 Jan;69(1):234-244. (PMID: 32894787) ANS Adv Nurs Sci. 2016 Oct/Dec;39(4):E1-E29. (PMID: 27677181) Geriatr Nurs. 2020 Mar - Apr;41(2):89-97. (PMID: 31320127) J Am Geriatr Soc. 2019 Nov;67(11):2254-2259. (PMID: 31403717) J Pain Symptom Manage. 2018 Jan;55(1):132-150.e1. (PMID: 28827062) JAMA. 2018 Apr 10;319(14):1444-1472. (PMID: 29634829) JAMA. 2017 Dec 12;318(22):2175-2176. (PMID: 29114779) Clin Neuropsychol. 2022 Feb;36(2):353-366. (PMID: 34338590) Int J Epidemiol. 2014 Apr;43(2):576-85. (PMID: 24671021) Issue Brief (Commonw Fund). ;37:1-14. (PMID: 27827434) Int J Nurs Stud. 2020 Jul;107:103576. (PMID: 32380259) |
| معلومات مُعتمدة: | K23 AG073618 United States AG NIA NIH HHS; K23 NR018673 United States NR NINR NIH HHS; P30 AG059294 United States AG NIA NIH HHS |
| فهرسة مساهمة: | Keywords: advance care planning/directives; cognition; home care; hospice; hospitalizations |
| تواريخ الأحداث: | Date Created: 20230801 Date Completed: 20231221 Latest Revision: 20240621 |
| رمز التحديث: | 20240621 |
| مُعرف محوري في PubMed: | PMC10828104 |
| DOI: | 10.1177/07334648231191667 |
| PMID: | 37525608 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-4523 |
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| DOI: | 10.1177/07334648231191667 |