Patients with lower incomes less likely to die at home

February 25, 2013
Patients with lower incomes less likely to die at home
Patients with limited financial resources are less likely to die at home, according to research published online Feb. 18 in JAMA Internal Medicine.

(HealthDay)—Patients with limited financial resources are less likely to die at home, according to research published online Feb. 18 in JAMA Internal Medicine.

Joshua S. Barclay, M.D., the from University of Virginia in Charlottesville, and colleagues analyzed data from the central administrative and clinical database of a for-profit, multi-state hospice (Jan. 1, 1999, to Dec. 31, 2003) and correlated it to zip codes matched to U.S. census tracts to generate median annual household incomes, separated into $10,000 increments (≤$20,000 to >$50,000).

The researchers found that, of the 61,063 enrollees admitted to routine care in a private residence, 13,804 (22.61 percent) transferred from home to another location (such as an inpatient hospice unit or nursing home) with hospice care before death. Transferred patients had a significantly lower mean median household income ($42,585 versus $46,777) and were significantly less likely to have received any continuous care (49.38 versus 30.61 percent). Continuous care was received for a median of four days. For patients who did not receive continuous care, the odds of transfer from home before death increased with decreasing median annual household incomes (odds ratio range, 1.26 to 1.76). Transfer from home was not predicted by income for patients who received continuous care.

" with may be less likely to die at home, especially if they are not able to access needed support beyond what is available with routine ," the authors write.

Explore further: Supply of hospice services strongly associated with local area's median household income

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Hospice visit number affects ability to die at home

June 27, 2012

(HealthDay) -- Hospice patients with cancer are more likely to be able to die in the setting of their choice if they receive at least one hospice visit per day during the first four days of hospice care, according to research ...

Recommended for you

Beyond the sweetness of sugar

June 24, 2016

We all know the nutritional "evils" of sugar as a potential cause of obesity, chronic disease and death, through to being a potentially brain damaging substance.

Is 'when we eat' as important as 'what we eat'?

June 21, 2016

In a review of research on the effect of meal patterns on health, the few studies available suggest that eating irregularly is linked to a higher risk of metabolic syndrome (high blood pressure, type 2 diabetes and obesity). ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.