Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels.
J Appl Gerontol
; 42(12): 2294-2303, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37525608
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Demência
/
Planejamento Antecipado de Cuidados
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Aspecto:
Implementation_research
Limite:
Aged
/
Humans
Idioma:
En
Revista:
J Appl Gerontol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos