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Socioeconomic Differences in and Predictors of Home-Based Palliative Care Health Service Use in Ontario, Canada

Bibliographic Data

ID15464348
AuthorsJiaoli Cai (0000-0002-8515-2577, University of Toronto), Denise N Guerriere (0000-0002-4345-0947, University of Toronto), Hongzhong Zhao (Wuhan University of Technology), Peter C Coyte (0000-0002-2993-3491, University of Toronto, corresponding author)
Year2017
Volume14
Issue7
Pages802-802
Publication date2017-07-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph14070802
PMID28718797
OpenAlexW2738512991
LanguageEN
Citations received3
References cited47

The use of health services may vary across people with different socioeconomic statuses, and may be determined by many factors. The purposes of this study were (i) to examine the socioeconomic differences in the propensity and intensity of use for three main home-based health services, that is, home-based palliative care physician visits, nurse visits and personal support worker (PSW) hours; and (ii) to explore the determinants of the use of home-based palliative care services. A prospective cohort study was employed. A total of 181 caregivers were interviewed biweekly over the course of the palliative care trajectory, yielding a total of 994 interviews. The propensity and intensity of health service use were examined using logistic regression and negative binomial regression, respectively. The results demonstrated that both the propensity and intensity of home-based nurse and PSW visits fell with socioeconomic status. The use of home-based palliative care services was not concentrated in high socioeconomic status groups. The common predictors of health service use in the three service categories were patient age, the Palliative Performance Scale (PPS) score and place of death. These findings may assist health service planners in the appropriate allocation of resources and service packages to meet the complex needs of palliative care populations

Business · Environmental health · Family medicine · Geography · Health care · Logistic regression · Palliative care · Population · Propensity score matching · Scale (ratio · Service (business · Socioeconomic status · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Nursing · Palliative Care and End-of-Life Issues · Gerontology

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Unique citing works3
Citations per year0,38
Citation span2018 - 2021 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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