Advance care planning and outpatient visits among older adults across cognitive levels

Zahra Rahemi , Juanita-Dawne R. Bacsu , Justine S. Sefcik , Maryam S. Sadafipoor , George Demiris , Swann Arp Adams
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Abstract

Advance care planning (ACP) can help reduce end-of-life care challenges for persons with Alzheimer's disease and related dementia and their care partners. Building on our previous work, we examined the impact of ACP on outpatient/doctor visits in older adults with dementia/impaired cognition and normal cognition. Using datasets from the 2014 Health and Retirement Study (HRS), we conducted a cross-sectional study of 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. Our findings indicated that having at least one ACP measure was significantly associated with a higher mean number of outpatient visits in both cognition groups. Based on our findings, we recommend considering healthcare access and use as an intervening variable in future ACP research.

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在认知水平的老年人中,提前护理计划和门诊就诊
提前护理计划(ACP)有助于减少阿尔茨海默病和相关痴呆症患者及其护理伙伴的临终护理挑战。在我们之前工作的基础上,我们研究了ACP对患有痴呆症/认知障碍和正常认知的老年人的门诊/医生就诊的影响。使用2014年健康与退休研究(HRS)的数据集,我们对17698名51岁及以上的参与者进行了横断面研究。我们的分析包括调查描述性和逻辑回归程序。我们的研究结果表明,在两个认知组中,至少有一项ACP测量与较高的平均门诊就诊次数显著相关。根据我们的研究结果,我们建议在未来的ACP研究中,将医疗保健的获取和使用作为一个干预变量。
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来源期刊
Aging and health research
Aging and health research Clinical Neurology, Public Health and Health Policy, Geriatrics and Gerontology
CiteScore
0.60
自引率
0.00%
发文量
0
审稿时长
12 weeks
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