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

    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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