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Centre for Policy on Ageing | |
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| Ethnicity and decision-makers in a group of frail older people | | Author(s) | Carlton A Hornung, G Paul Eleazer, Harry S Strothers |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 3, March 1998 |
| Pages | pp 280-286 |
| Keywords | Ethnic groups ; Health services ; Commercial care ; Management [care] ; Court of protection ; United States of America. |
| Annotation | A review of 1193 older adults (300 non-Hispanic whites, 364 black, 156 Hispanic, and 288 Asian) participating in the Program of All-inclusive Care for the Elderly (PACE) aimed to assess the relationship between their ethnicity and decision-making on healthcare wishes. 91% of white patients expressed their own healthcare wishes, in contrast to 85% of Hispanic, 83% of Asian, and 67% of black patients. An alternative decision maker was identified for about 15% of Asians and Hispanics, and for one-third of blacks, but only about 8% of whites. Daughters were the most likely alternative decision makers for Blacks and Hispanics; sons for Asians; and spouse for white patients. Blacks, particularly black men, were the most likely to have some other relative as an alternative decision maker. In this particular population, the authors found significant ethnic variation in the person identified to be the decision-maker in a group of frail older people. Ethnic variation reflected sociodemographic as well as cultural differences. However, caution should be used in extrapolating the results to other populations, or in attributing results to ethnicity alone. (RH). |
| Accession Number | CPA-980821002 A |
| Classmark | TK: L: PI: QA: JVC: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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