Racial and ethnic differences in End-of-Life costs Why do minorities cost more than whites?

Archives of Internal Medicine

Volumn 169, Issue 5, 2009, Pages 493-501

  Hanchate, Amresh ^a   Kronman, Andrea C ^b   Young Xu, Yinong ^c   Ash, Arlene S ^b   Emanuel, Ezekiel ^c  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Lown Cardiovascular Research Foundation   (United States)

^c NATIONAL INSTITUTES OF HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; ARTIFICIAL VENTILATION; BRAIN DISEASE; CAUSE OF DEATH; CONTROLLED STUDY; ETHNIC DIFFERENCE; FEMALE; HEALTH CARE COST; HEART DISEASE; HOSPICE CARE; HOSPITAL CARE; HOSPITAL COST; HUMAN; INTENSIVE CARE UNIT; LIFE SUSTAINING TREATMENT; LIVER DISEASE; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICARE; NEOPLASM; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RACE DIFFERENCE; SCORING SYSTEM; SOCIAL STATUS; SOCIOECONOMICS; TERMINAL CARE; TERMINAL DISEASE;

AFRICAN CONTINENTAL ANCESTRY GROUP; AGED; AGED, 80 AND OVER; EUROPEAN CONTINENTAL ANCESTRY GROUP; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HEALTHCARE DISPARITIES; HISPANIC AMERICANS; HOSPICE CARE; HUMANS; MALE; MEDICARE; MINORITY GROUPS; TERMINAL CARE; UNITED STATES;

EID: 62349090120     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinternmed.2008.616     Document Type: Article

References (43)

1. Agency for Healthcare Research and Quality. National Healthcare Disparities Report 2005. Rockville, MD: Agency for Healthcare Research and Quality; 2006.
2. Baicker K, Chandra A, Skinner JS, Wennberg JE. Who you are and where you live: how race and geography affect the treatment of Medicare beneficiaries. Health Aff (Millwood). 2004(suppl Web exclusives):VAR33-VAR44.
3. Barnato AE, Lucas FL Staiger D, Wennberg DE, Chandra A. Hospital-level racial disparities in acute myocardial infarction treatment and outcomes. Med Care. 2005;43(4):308-319.
4. Degenholtz HB, Thomas SB, Miller MJ. Race and the intensive care unit: disparities and preferences for end-of-life care. Critical Care Med. 2003;31(5)(suppl):S373-S378.
5. Jha AK, Fisher ES, Li Z, Orav EJ, Epstein AM. Racial trends in the use of major procedures among the elderly. N Engl J Med. 2005:353(7) :683-691.
6. LaditkaJN, Laditka SB, Mastanduno MP. Hospital utilization for ambulatory care sensitive conditions: health outcome disparities associated with race and ethnicity. Soc Sci Med. 2003;57(8):1429-1441.
7. Rathore SS, Krumholz HM. Differences, disparities, and biases: clarifying racial variations in health care use. Ann Intern Med. 2004:141 (8):835-638.
8. Trivedi AN, Zaslavsky AM, Schneider EC, Ayanian JZ. Trends in the quality of care and racial disparities in Medicare managed care. N Engl J Med. 2005: 353(7) :692-700.
9. Vaccarino V, Rathore SS, Wenger NK, et al. Sex and racial differences in the management of acute myocardial infarction, 1994 through 2002. N Engl J Med. 2005:353(7) :671-682.
10. Epstein AM, Ayanian JZ. Racial disparities in medical care. N Engl J Med. 2001; 344(19):1471-1473.
11. Barnato AE, Chang CC, Saynina O, Garber AM. Influence of race on inpatient treatment intensity at the end of life. J Gen Intern Med. 2007;22(3):338-345.
12. Hogan C, Lunney J, Gabel J, Lynn J. Medicare beneficiaries' costs of care in the last year of life. Health Aff (Milwood). 2001 ;20(4):188-195.
13. Levinsky NG, Yu W, Ash A, et al. Influence of age on Medicare expenditures and medical care in the last year of life. JAMA. 2001 ;286(11):1349-1355.
14. Shugarman LR, Campbell DE, Bird CE, Gabel J, Louis TA, Lynn J. Differences in Medicare expenditures during the last 3 years of life. J Gen Intern Med. 2004;19(2):127-135.
15. Dartmouth Institute for Health Policy and Clinical Practice. Tracking the Care of Patients With Severe Chronic Illness: The Dartmouth Atlas of Health Care 2008. Lebanon, NH: Dartmouth Institute for Health Policy & Clinical Practice; 2008.
16. Wennberg JE, Fisher ES, Stukel TA, Skinner JS, Sharp SM, Bronner KK. Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States. BMJ. 2004; 328(7440):607.
17. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-383.
18. DxCG Risk Adjustment Software: User's Guide Release 6.1. Boston, MA: DxCG; 2004.
19. Emanuel EJ, Young-Xu Y, Levinsky NG, Gazelle G, Saynina O, Ash AS. Chemotherapy use among Medicare beneficiaries at the end of life. Ann Intern Med. 2003; 138(8):639-643.
20. US Department of Agriculture. Measuring Rurality: Rural-Urban Continuum Codes. Washington, DC: US Dept of Agriculture; 2006.
21. Dartmouth Medical School. The Dartmouth Atlas of Health Care in the United States 1998. Hanover, NH: Center for the Evaluative Clinical Sciences, Dartmouth Medical School; 1999.
22. Stata Statistical Software: Release 9. College Station, TX: StataCorp LP; 2005.
23. Johnston J, DiNardo J. Econometric Methods. 4th ed. New York, NY: McGraw-Hill Co; 1997.
24. Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346(14):1061- 1066.
25. Phipps E, True G, Harris D, et al. Approaching the end of life: attitudes, preferences, and behaviors of African-American and white patients and their family caregivers. J Clin Oncol. 2003;21 (3):549-554.
26. Pritchard RS, Fisher ES, Teno JM, et al. Influence of patient preferences and local health system characteristics on the place of death. J Am Geriatr Soc. 1998;46(10):1242-1250.
27. Campbell DE, Lynn J, Louis TA, Shugarman LR. Medicare program expenditures associated with hospice use. Ann Intern Med. 2004;140(4):269-277.
28. Chen H, Haley W, Robinson B, Schonwetter R. Decisions for hospice care in patients with advanced cancer. J Am Geriatr Soc. 2003;51 (6):789-797.
29. Crawley L, Payne R, Bolden J, et al. Palliative and end-of-life care in the African American community. JAMA. 2000:284(19):2518-2521.
30. Degenholtz HB, Arnold RA, Meisel A, Lave JR. Persistence of racial disparities in advance care plan documents among nursing home residents. J Am Geriatr Soc. 2002;50(2):378-381.
31. DePalma J. How race and culture influence advance directive decisions. Am J Nurs.1998;98(3):31.
32. Earle CC, Neville BA, Landrum MB, Ayanian JZ, Block SD, Weeks JC. Trends in the aggressiveness of cancer care near the end of life. J Clin Oncol. 2004;22(2):315-321.
33. Flory J, Yinong YX, Gurol I, Levinsky N, Ash A, Emanuel E. Place of death: U.S. trends since 1980. Health Aff (Milwood). 2004;23(3):194-200.
34. Kiely DK, Mitchell SL, Marlow A, Murphy KM, Morris JN. Racial and state differences in the designation of advance directives in nursing home residents. J Am Geriatr Soc. 2001 ;49(10):1346-1352.
35. McCarthy EP, Burns RB, Ngo-Metzger G, Davis RB, Phillips RS. Hospice use among Medicare managed care and fee-for-service patients dying with cancer. JAMA. 2003;289(17):2238-2245.
36. Silveira MJ, DiPiero A, Gerrity MS, Feudtner C. Patients' knowledge of options at the end of life: ignorance in the face of death. JAMA. 2000:284(19):2483-2488.
37. Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, Mclntyre L, Tulsky JA. Factors considered important at the end of life by patients, family, physicians, and other care providers. JAMA. 2000;284(19):2478-2482.
38. Franks P, Fiscella K, Meldrum S. Racial disparities in the content of primary care office visits. J Gen Intern Med. 2005;20(7):599-603.
39. Schneider EC, Zaslavsky AM, Epstein AM. Racial disparities in the quality of care for enrollees in medicare managed care. JAMA. 2002:287(10)1288-1294.
40. Fiscella K, Holt K. Impact of primary care patient visits on racial and ethnic disparities in preventive care in the United States. J Am Board Fam Med. 2007;20(6):587-597.
41. Kronman AC, Ash AS, Freund KM, Hanchate A, Emanuel EJ. Can primary care visits reduce hospital utilization among Medicare beneficiaries at the end of life? J Gen intern Med. 2008:23(9):1330-1335.
42. McBean AM. Medicare Race and Ethnicity Data. Minneapolis, MN: National Academy of Social Insurance; 2004.
43. Kirby JB, Taliaferro G, Zuvekas SH. Explaining racial and ethnic disparities in health care. Med Care. 2006;44(5)(suppl):l64-172.