End-of-Life Care for Older Adults With Dementia by Race and Ethnicity and Physicians’ Role
Findings from this cohort study suggest that non-Hispanic Black and Hispanic decedents with dementia received more intensive end-of-life care despite higher rates of billed advance care planning and palliative care counseling than non-Hispanic White decedents. Observed racial and ethnic variations were not explained by differences in the physicians treating them.
Authors
- Ryo Ikesu (ORCID: https://orcid.org/0000-0002-9967-8967)
- Utibe R. Essien (ORCID: https://orcid.org/0000-0002-4494-5028)
- Anne M. Walling (ORCID: https://orcid.org/0000-0001-6026-3249)
- Alexandra M. Klomhaus (ORCID: https://orcid.org/0000-0002-7676-3595)
- Yusuke Tsugawa (ORCID: https://orcid.org/0000-0002-1937-4833)
- Hiroshi Gotanda (ORCID: https://orcid.org/0000-0003-4238-0171)
- Deborah M. Oyeyemi (ORCID: https://orcid.org/0000-0003-4142-7505)
- Debra Saliba (ORCID: https://orcid.org/0000-0001-5177-6616)
- Keith C. Norris
- Haiyong Xu
Institutions
- Cedars-Sinai Medical Center (US)
- RAND Corporation (US)
- University of California, Los Angeles (US)
- UCLA Health (US)
- Center for the Study of Healthcare Provider Behavior (US)
- VA Greater Los Angeles Healthcare System (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-11-14
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.4235
- Citations
- 1
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 1.88