Achieving goal-concordant care: Formal and informal advance care planning for White, Black, and Hispanic older adults.

ABSTRACT:

Introduction

Advance care planning (ACP) aims to ensure that patients receive goal-concordant care (GCC), which is especially important for racially or ethnically minoritized populations at greater risk of poor end-of-life outcomes. However, few studies have evaluated the impact of advance directives (i.e., formal ACP) or goals-of-care conversations (i.e., informal ACP) on such care. This study aimed to examine the relationship between each of formal and informal ACP and goal-concordant end-of-life care among older Americans and to determine whether their impact differed between individuals identified as White, Black, or Hispanic.

Methods

We conducted a retrospective cohort study using 2012-2018 data from the biennial Health and Retirement Study. We examined the relationship

SUBMITTER: Lenko RA 

PROVIDER: S-EPMC11323214 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature