@article{a88397c9e083468ebec9f913b0d5ff1d,
title = "Healthcare Utilization and Advance Care Planning among Older Adults Across Cognitive Levels",
abstract = "This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from the Health and Retirement Study, we conducted a cross-sectional study on 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. ACP measures included a living will and durable power of attorney for healthcare. Healthcare utilization was measured using the days spent in hospitals, hospice care, nursing homes, and home care. Of the participants, 77.8% had normal cognition, and 22% had impaired cognition/dementia. The proportion of impaired cognition/dementia was higher among racially minoritized participants, single/widowed participants, and those who lived alone and were less educated. The results showed that having an ACP was associated with longer stays in hospitals, nursing homes, and home healthcare in all participants.",
keywords = "advance care planning/directives, cognition, home care, hospice, hospitalizations",
author = "Zahra Rahemi and Ayse Malatyali and Bacsu, {Juanita Dawne R.} and Sefcik, {Justine S.} and Petrovsky, {Darina V.} and Baker, {Zachary G.} and Ma, {Kris Pui Kwan} and Smith, {Matthew L.} and Adams, {Swann A.}",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Carolina Center on Alzheimer{\textquoteright}s Disease and Minority Research (CCADMR) (Federal Award, NIA, P30AG059294-04, Sub-award no: 22–4642) and partly funded by Clemson University{\textquoteright}s R-Initiative Program. J. S. Sefcik was funded by the National Institute of Nursing Research of the National Institutes of Health [K23 NR018673]. D. V. Petrovsky was by the National Institute of Aging of the National Institutes of Health [K23AG073618]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Carolina Center on Alzheimer{\textquoteright}s Disease and Minority Research (CCADMR) (Federal Award, NIA, P30AG059294-04, Sub-award no: 22–4642) and partly funded by Clemson University{\textquoteright}s R-Initiative Program. J. S. Sefcik was funded by the National Institute of Nursing Research of the National Institutes of Health [K23 NR018673]. D. V. Petrovsky was by the National Institute of Aging of the National Institutes of Health [K23AG073618]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Publisher Copyright: {\textcopyright} The Author(s) 2023.",
year = "2023",
month = dec,
doi = "10.1177/07334648231191667",
language = "English (US)",
volume = "42",
pages = "2294--2303",
journal = "Journal of Applied Gerontology",
issn = "0733-4648",
publisher = "SAGE Publications Inc.",
number = "12",
}