Associating Sociodemographic Characteristics and Palliative Care Participation to End of Life Planning for the Chronically Ill
[Thesis]
Hale-Boykins, LuAna Lee
Kimmel, Sharon
Northcentral University
2020
138
D.B.A.
Northcentral University
2020
Rates of chronic illness are on the rise with seven out of 10 deaths resulting from chronic disease. A patient's life expectancy is reduced an average of 1.8 years for each chronic condition the patient has. Having an end of life plan (EOLP) is shown to increase quality of care, decrease anxiety, lower stress levels, and reduce depression or depressive states for the patient and family members. This study was developed based on the theory of fundamental causes. A theory used in medical and sociological research drawing a direct link between socioeconomic (SES) status, health disparities, and health related outcomes. The problem addressed by this study is only about one-third of Americans hold an EOLP, despite findings that holding an EOLP increases quality of care, decreases anxiety, lowers stress levels, and reduces depression or depressive states for both the patient and family members. Those adults with severe or multiple medical conditions have only completed an EOLP at a slightly higher rate. The purpose of this study was to analyze predictive relationships between sociodemographic characteristics and palliative care participation with creation of an EOLP to better understand how these factors influence EOLP completion rates for the chronically ill. This research deployed a quantitative, non-experimental correlational study utilizing multiple logistic regression analysis to determine the relationship that age, gender, ethnicity, race, marital status, education level, annual income, religious preference, and palliative care participation of chronically ill patients has on the creation of an EOLP. Participants selected for this research included 122 chronically ill adults 18 years of age and greater. The findings from this study resulted in statistically significant relationships being identified for religious affiliation - belief in a higher power, and marital status - never partner.