End-of-Life Outcomes in Memory Care vs. General Assisted Living
Author Information
Author(s): Wang Xiao (Joyce), Cornell Porita, Belanger Emmanuelle, Thomas Kali
Primary Institution: Brown University
Hypothesis
Do end-of-life outcomes differ by assisted living memory-care designation?
Conclusion
Residents in memory-care assisted living facilities have higher mortality rates and greater hospice use compared to those in general assisted living.
Supporting Evidence
- Memory-care residents had a higher mortality rate by 1.3 percentage points.
- Memory-care residents had a higher rate of hospice use by 1.4 percentage points.
- Decedents in memory-care spent about 1.4 more days receiving hospice care.
Takeaway
This study looked at people with dementia in assisted living and found that those in memory care tend to die more and use hospice services more.
Methodology
The study used a prospective cohort of Medicare beneficiaries and inverse probability treatment weighting to analyze differences in end-of-life outcomes.
Participant Demographics
Fee-for-service Medicare beneficiaries with Alzheimer's disease and related dementia.
Statistical Information
P-Value
p=0.04
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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