Crystal Brown|Ruth A. Engelberg|Rashmi Sharma|Lois Downey|James Fausto|Jackie Sibley|William B. Lober|Nita Khandelwal|Elizabeth T. Loggers|J. Randall Curtis
Race/Ethnicity, Socioeconomic Status, and Healthcare Intensity at the End of Life
University of Washington|University of Washington|University of Washington|University of Washington|University of Washington|University of Washington Medical Center|University of Washington|University of Washington|University of Washington Medical Center|University of Washington|University of Washington|Fred Hutch Cancer Center|Seattle Cancer Care Alliance|University of Washington
although racialethnic minorities receive intense nonbeneficial healthcare end life role raceethnicity independent social determinants health well understoodexamine association raceethnicity key social determinants health healthcare intensity last 30 days life chronic lifelimiting illnesswe identified 22068 decedents chronic illness cared single healthcare system washington state died 2010 2015 linked electronic health records death certificate databinomial regression models used test associations healthcare intensity raceethnicity insurance status education median income zip code path analyses tested direct indirect effects raceethnicity insurance education median income zip code used mediatorswe examined three measures healthcare intensity 1 intensive care unit admission 2 use mechanical ventilation 3 receipt cardiopulmonary resuscitationminority raceethnicity lower income educational attainment medicaid military insurance associated higher intensity care socioeconomic disadvantage accounted higher intensity racialethnic minorities effects direct effects raceethnicitythe effects minority raceethnicity healthcare intensity end life partly mediated social determinants health future interventions address factors driving direct indirect effects raceethnicity healthcare intensity