Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels

Zahra Rahemi; Ayse Malatyali; Juanita Dawne R. Bacsu; Justine S. Sefcik; Darina V. Petrovsky; Zachary G. Baker; Kris Pui Kwan Ma; Matthew L. Smith; Swann A. Adams

doi:10.1177/07334648231191667

Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels

Zahra Rahemi, Ayse Malatyali, Juanita Dawne R. Bacsu, Justine S. Sefcik, Darina V. Petrovsky, Zachary G. Baker, Kris Pui Kwan Ma, Matthew L. Smith, Swann A. Adams

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants.

Original language	English (US)
Pages (from-to)	2294-2303
Number of pages	10
Journal	Journal of Applied Gerontology
Volume	42
Issue number	12
DOIs	https://doi.org/10.1177/07334648231191667
State	Published - Dec 2023

Keywords

advance care planning/directives
cognition
home care
hospice
hospitalizations

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1177/07334648231191667

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title = "Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels",

abstract = "This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants.",

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author = "Zahra Rahemi and Ayse Malatyali and Bacsu, {Juanita Dawne R.} and Sefcik, {Justine S.} and Petrovsky, {Darina V.} and Baker, {Zachary G.} and Ma, {Kris Pui Kwan} and Smith, {Matthew L.} and Adams, {Swann A.}",

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doi = "10.1177/07334648231191667",

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AU - Sefcik, Justine S.

AU - Petrovsky, Darina V.

AU - Baker, Zachary G.

AU - Ma, Kris Pui Kwan

AU - Smith, Matthew L.

AU - Adams, Swann A.

N1 - Publisher Copyright: © The Author(s) 2023.

PY - 2023/12

Y1 - 2023/12

N2 - This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants.

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Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels

Abstract

Keywords

ASJC Scopus subject areas

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