ROLE OF FAMILY CHARACTERISTICS OF RURAL AND URBAN NURSING HOME RESIDENTS AT END-OF-LIFE (EOL)
2024

Family Characteristics and End-of-Life Care in Nursing Homes

publication

Author Information

Author(s): Stephens Caroline, Utz Rebecca, Hollingshaus Mike, Tay Djin, Edelman Linda S, Iacob Eli, Smith Ken, Ornstein Katherine

Primary Institution: University of Utah

Hypothesis

How do family size and characteristics impact end-of-life care utilization for urban vs rural nursing home residents?

Conclusion

The study found that family characteristics significantly influence end-of-life care utilization, with differences observed between urban and rural nursing home residents.

Supporting Evidence

  • Rural nursing home decedents were slightly more likely to lack first-degree family members compared to urban decedents.
  • Having a spouse was linked to higher hospitalization rates among both urban and rural nursing home decedents.

Takeaway

This study looks at how the size and type of family members affect the care that people in nursing homes receive at the end of their lives, especially comparing those in cities to those in rural areas.

Methodology

The study linked nursing home decedents to their first-degree families and compared characteristics and care utilization between urban and rural residents.

Participant Demographics

The study included nursing home residents from Utah who died between 1998-2016, with a focus on first-degree family characteristics.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2217

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