Objective: To examine whether regional practice patterns impact racial/ethnic differences in intensity of end-of-life care for cancer decedents.
Data Sources: The linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database.
Study Design: We classified hospital referral regions (HRRs) based on mean 6-month end-of-life care expenditures, which represented regional practice patterns. Using hierarchical generalized linear models, we examined racial/ethnic differences in the intensity of end-of-life care across levels of HRR expenditures.
Principal Findings: There was greater variation in intensity of end-of-life care among Hispanics, Asians, and whites in high-expenditure HRRs than in low-expenditure HRRs.
Conclusions: Local practice patterns may influence racial/ethnic differences in end-of-life care.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232508 | PMC |
| http://dx.doi.org/10.1111/1475-6773.12998 | DOI Listing |
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