Association of Hospice Agency Location and Neighborhood Socioeconomic Disadvantage in the U.S.

Autor:	Osakwe ZT; College of Nursing and Public Health, Adelphi University, Garden City, NY, USA., Calixte R; Department of Epidemiology and Biostatistics, SUNY Downstate Health Sciences University, Brooklyn, NY, USA., Peterson ML; North Dakota Healthcare Workforce Group, University of North Dakota, Grand Forks, ND, USA., Young SG; Peter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA., Ikhapoh I; School of Engineering and Applies Sciences, University of Buffalo, Buffalo, NY, USA., Pierre K; College of Nursing and Public Health, Adelphi University, Garden City, NY, USA., McIntosh JT; College of Nursing and Public Health, Adelphi University, Garden City, NY, USA.; Yale University School of Nursing, Orange, CT, USA., Senteio C; Department of Library and Information Science, School of Communication and Information, Rutgers University, New Brunswick, NJ, USA., Girardin JL; Department of Psychiatry and Neurology at the Miller School of Medicine, University of Miami, Miami, FL, USA.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2024 Mar; Vol. 41 (3), pp. 309-317. Date of Electronic Publication: 2023 Aug 29.
DOI:	10.1177/10499091231195319
Abstrakt:	Background: Despite the growing increase in the utilization of hospice in the U.S, disparities exist in the utilization of hospice. Accumulating evidence has shown that neighborhood characteristics have an impact on availability of hospice agencies. Objective: To assess the association between neighborhood social vulnerability and hospice agency availability. Methods: Using the Medicare Post-Acute Care and Hospice Provider Utilization and Payment Public Use Files (PAC PUF) for 2019. Hospice agency addresses were geocoded to the census tract level. Multivariable Poisson regression models were used to assess the association between socioeconomic status SVI theme and hospice agency availability adjusting for number of home health agencies, primary care health profession shortage, per cent Black, and Percent Hispanic at the census tract level and rurality. Results: The socioeconomic status SVI subtheme was associated with decreased likelihood of hospice agency availability (adjusted IRR (aIRR), .56; 95% CI, .50- .63; P < .001). Predominantly Black, and predominantly Hispanic neighborhoods had lower rates of hospice agency availability (aIRR, .48; 95% CI, .39-.59; P < .001 and aIRR, .29; 95% CI, .24-.36; P < .001), respectively. Conclusion: Neighborhood socioeconomic disadvantage was associated with lower availability of hospice agencies. Policies aimed at increasing access to hospice should be cognizant of neighborhood socioeconomic disadvantage. 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.
Databáze:	MEDLINE
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