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

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Hispanic Health Care International Pub Date : 2016-12-01 Epub Date: 2016-09-20 DOI:10.1177/1540415316670900

Lisa C Lindley, Laura V Trujillo

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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.

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西班牙裔儿童的临终关怀：加州医疗补助受益人研究》。

导言：美国每年有 8,000 多名西班牙裔儿童死亡，但人们对他们所使用的临终关怀却知之甚少。本研究旨在探讨与西班牙裔儿童临终关怀相关的儿童和家庭特征：方法：利用 2009-2010 年加州医疗补助计划的数据，建立了一个包含 370 名西班牙裔儿童的样本。采用多元回归法分析了儿童和家庭特征与临终关怀利用率（即安宁疗护登记、急诊室利用率、入院率）之间的关系：结果：儿科安宁疗护的可及性（p < .05）、姑息治疗政策（p < .01）、先天异常（p < .01）和心血管疾病（p < .01）与安宁疗护的注册有关。通常的护理来源（p < .001）、功能状况（p < .001）、姑息治疗政策（p < .01）和私人保险（p < .01）与急诊室使用率相关，而通常的护理来源（p < .001）、癌症（p < .001）和残疾状况（p < .01）与入院率相关：结论：旨在让西班牙裔家庭参与社区活动的护理实践对西班牙裔儿童临终关怀的利用率至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hispanic Health Care International Nursing-Nursing (all)

CiteScore

2.20

自引率

0.00%

发文量

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.