National Healthcare Disparities Report - LDI Health Economist

Effectiveness of Care
High-Quality Palliative Care
Management: Care Consistent With Patient’s Wishes Among Hospice Patients
Hospice care should respect patients’ stated goals for care. This includes shared communication and
decisionmaking between providers and hospice patients and their family members and respect for cultural
and religious beliefs.
Figure 2.59. Hospice patients age 18 and over who did NOT receive care consistent with their stated
end-of-life wishes, by race and ethnicity, 2008-2010
Percent
20 White
15
10
5
Black
API
AI/AN
2009 Achievable Benchmark: 4%
Percent
20
15
10
5
Non-Hispanic White
Hispanic
2009 Achievable Benchmark: 4%
Chapter 2 Supportive and Palliative Care
0
2008
2009
2010
0
2008
2009
2010
Key: AI/AN = American Indian or Alaska Native; API = Asian or Pacific Islander.
Source: National Hospice and Palliative Care Organization, Family Evaluation of Hospice Care, 2008-2010.
Denominator: Adult hospice patients.
Note: For this measure, lower rates are better.
n In all years, Blacks, APIs, and AI/ANs were less likely than Whites and Hispanics were less likely
than non-Hispanic Whites to receive end-of-life care consistent with their wishes.
n The 2009 top 5 State achievable benchmark was 4%. xliii Data are insufficient to assess progress
toward this goal.
Also, in the NHQR:
n The percentage of hospice patients whose families reported that they did not receive end-of-life care
consistent with their stated wishes was 6% in 2010.
xliii
The top 5 States contributing to the achievable benchmark are Arkansas, Illinois, Minnesota, Montana, and Virginia.
National Healthcare Disparities Report, 2011
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