干旱区生态环境知识资源中心(Arid): Clinician Perception of Likelihood of Death in the Next Year Is Associated With 1-Year Mortality and Hospice Use Among Older Adults Receiving Home Health Care

Arid

DOI	10.1089/jpm.2023.0043
	Clinician Perception of Likelihood of Death in the Next Year Is Associated With 1-Year Mortality and Hospice Use Among Older Adults Receiving Home Health Care
	Osakwe, Zainab Toteh; Bollens-Lund, Evan; Wang, Yihan; Ritchie, Christine S.; Reckrey, Jennifer M.; Ornstein, Katherine A.
通讯作者	Osakwe, ZT
来源期刊	JOURNAL OF PALLIATIVE MEDICINE
ISSN	1096-6218
EISSN	1557-7740
出版年	2024
卷号	27 期号:4 页码:481-486
英文摘要	Background: Given the complex care needs of older adults receiving home health care (HHC), it is important for HHC clinicians to identify those with limited prognosis who may benefit from a transition to hospice care.Objectives: To assess the association between HHC clinician-identified likelihood of death and (1) 1-year mortality, and (2) hospice use.Methods: Prospective cohort study from the National Health and Aging Trends Study (NHATS) waves 2011-2018, linked to the Outcomes and Assessment Information Set (OASIS) HHC assessment and Medicare data among 915 community-dwelling NHATS respondents. HHC clinician-identified likelihood of death/decline was determined using OASIS item M1034. Multivariable logistic regression was used to assess the association between clinician-identified likelihood of death/decline and 1-year mortality and hospice use.Results: HHC clinicians identified 42% of the sample as at increased risk of decline or death. One year mortality was 22.3% (n = 548), and 15.88% (n = 303) used hospice within 12 months of HHC. HHC clinician-perceived likelihood of death/decline was associated with greater odds of 1-year mortality (odds ratio [OR], 6.57; confidence interval (95% CI), 2.56-16.90) and was associated with greater likelihood of hospice use (OR, 1.61; 95% CI, 1.00-2.62).Conclusion: HHC clinician perception of patients' risk of death or decline is associated with 1-year mortality. A better understanding of HHC patients at high risk for mortality can facilitate improved care planning and identification of homebound older adults who may benefit from hospice.
英文关键词	end-of-life care planning home healthcare nursing palliative care
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001159864900001
WOS关键词	OF-LIFE CARE ; AFRICAN-AMERICANS ; MEDICARE ; ACCESS
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404653
推荐引用方式 GB/T 7714	Osakwe, Zainab Toteh,Bollens-Lund, Evan,Wang, Yihan,et al. Clinician Perception of Likelihood of Death in the Next Year Is Associated With 1-Year Mortality and Hospice Use Among Older Adults Receiving Home Health Care[J],2024,27(4):481-486.
APA	Osakwe, Zainab Toteh,Bollens-Lund, Evan,Wang, Yihan,Ritchie, Christine S.,Reckrey, Jennifer M.,&Ornstein, Katherine A..(2024).Clinician Perception of Likelihood of Death in the Next Year Is Associated With 1-Year Mortality and Hospice Use Among Older Adults Receiving Home Health Care.JOURNAL OF PALLIATIVE MEDICINE,27(4),481-486.
MLA	Osakwe, Zainab Toteh,et al."Clinician Perception of Likelihood of Death in the Next Year Is Associated With 1-Year Mortality and Hospice Use Among Older Adults Receiving Home Health Care".JOURNAL OF PALLIATIVE MEDICINE 27.4(2024):481-486.