Race Plays Key Role in End of Life Care

Posted: 02/23/09
The race of seniors in the advanced stages of cancer plays a significant role in care decisions according to a new study.

The study of nearly 41,000 Americans with terminal cancer found that white or Hispanic patients were more likely than black or Asians to be enrolled in a hospice program. Black and Asian patients however were more likely to have frequent ICU admissions toward the end of their lives and were more likely to die in a hospital. Specifically:
  • Black patients were 9 percent less likely than whites to enroll in a hospice program; 26 percent more likely to be hospitalized in their last month of life.

  • Asian patients were 24 percent less likely than whites to enroll in a hospice program; 17 percent more likely to be hospitalized at least twice in their last month of life.

Researchers are still unsure of the reasons for the differences in care. All patients in the study were covered through Medicare. Supplemental insurance provider coverage wasn't a largely distinguishing factor, nor was income or physical health.

Researchers have agreed that learning more about patient's personal preferences will be key to exploring this issue further.
Related Links
Medline Plus: End-of-life care differs by race