Title

Predictive Factors of Hospice Use Among Blacks: Applying Andersen's Behavioral Model

Authors

Authors

N. E. Conner

Comments

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Abbreviated Journal Title

Am. J. Hosp. Palliat. Med.

Keywords

hospice; behavioral model; health services use; spirituality; end-of-life; blacks; AFRICAN-AMERICANS; RACIAL-DIFFERENCES; TREATMENT PREFERENCES; ETHNIC-DIFFERENCES; CARE SERVICES; LIFE; BARRIERS; BELIEFS; ACCESS; HEALTH; Health Care Sciences & Services

Abstract

The purpose of this prospective, correlational study was to examine the differential ability of demographic variables, beliefs, and values about end-of-life, spirituality, and social relationships to predict hospice use among blacks. The framework for this study was the Behavioral Model of Health Services Use. Data were collected from 104 terminally ill black men and women recruited from 6 inpatient and outpatient settings. Only 34% of the individuals participated in hospice services. Chi-square, sequential, and stepwise logistic regressions revealed that the best predictive model consisted of presence of a caregiver, having a religious affiliation, and male gender. Together these factors predicted 13.7% to 19% of hospice use among blacks. Health care providers can use these findings in planning care for patients early in their disease trajectory.

Journal Title

American Journal of Hospice & Palliative Medicine

Volume

29

Issue/Number

5

Publication Date

1-1-2012

Document Type

Article

Language

English

First Page

368

Last Page

374

WOS Identifier

WOS:000306556200006

ISSN

1049-9091

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