End-of-Life Care for Hispanic Children: A Study of California Medicaid Beneficiaries

Overview

Journal Hisp Health Care Int

Specialty Health Services

Date 2016 Sep 22

PMID 27650201

Citations 4

Authors

Lisa C Lindley

Laura V Trujillo

Affiliations

Soon will be listed here.

Abstract

Introduction: More than 8,000 Hispanic children die annually in the United States; yet little is known about the end-of-life care utilized. The purpose of this study was to examine the children and family characteristics associated with end-of-life care for Hispanic children.

Method: A sample of 370 Hispanic children was created, using the 2009-2010 California Medicaid data. The relationship between child and family characteristics and end-of-life care utilization (i.e., hospice enrollment, emergency room utilization, hospital admissions) was analyzed using multivariate regression.

Results: Pediatric hospice accessibility (p < .05), palliative care policy (p < .01), congenital anomalies (p < .01), and cardiovascular conditions (p < .01) were related to hospice enrollment. Usual source of care (p < .001), functional status (p < .001), palliative care policy (p < .01), and private insurance (p < .01) were associated with emergency room utilization, while usual source of care (p < .001), cancer (p < .001), and disability status (p < .01) corresponded with hospital admissions.

Conclusion: Nursing practices aimed at engaging Hispanic families in their community are critical to end-of-life care utilization for Hispanic children.

Citing Articles

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Pediatric Oncology Hospice: A Comprehensive Review.

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A National Study of Healthcare Service Patterns at the End of Life Among Children With Cardiac Disease.

Lindley L, Svynarenko R, Mooney-Doyle K, Mendola A, Naumann W, Harris R J Cardiovasc Nurs. 2021; 38(1):44-51.

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