{"title":"End-of-Life Care for Hispanic Children: A Study of California Medicaid Beneficiaries.","authors":"Lisa C Lindley, Laura V Trujillo","doi":"10.1177/1540415316670900","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Nursing practices aimed at engaging Hispanic families in their community are critical to end-of-life care utilization for Hispanic children.</p>","PeriodicalId":35432,"journal":{"name":"Hispanic Health Care International","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5136309/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hispanic Health Care International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1540415316670900","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2016/9/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
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.
期刊介绍：
Visit Hispanic Health Care International Online on IngentaConnect to view tables of contents. This peer-reviewed journal serves as an interdisciplinary forum for the dissemination of information for clinical practice, education, research, and policy on issues concerning Hispanic/Latino populations in the United States. A unique feature of Hispanic Health Care International is the availability of all abstracts in both English and Spanish. Each article is reviewed by at least two experts on the topic. The interdisciplinary editorial board comprises experts in a variety of clinical, policy, and research areas.
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