Table 3.
Adjusted Associations between Patient Characteristics and Receiving Continuous Home Care
| Receiving CHC OR (95% CI) |
|
|---|---|
| Demographic Factors | |
| Age | |
| 66-69 | 1.04 (0.97, 1.12) |
| 70-74 | 1.05 (0.99, 1.12) |
| 75-79 | 1.02 (0.97, 1.08) |
| 80-84 | 1.00 (0.96, 1.05) |
| 85+ | reference |
| Sex | |
| Male | 0.98 (0.95, 1.02) |
| Female | reference |
| Race | |
| White | reference |
| Black | 0.70 (0.65, 0.75) |
| Hispanic | 0.90 (0.84, 0.98) |
| Other | 0.76 (0.67, 0.87) |
| Clinical Factors | |
| Number of comorbidities | |
| 0-2 | reference |
| 3 | 1.07 (1.00, 1.15) |
| 4 | 1.08 (1.01, 1.15) |
| 5 | 1.10 (1.03, 1.17) |
| 6 | 1.08 (1.01, 1.15) |
| 7-8 | 1.08 (1.01, 1.16) |
| Primary diagnosis for hospice enrollment | |
| Neoplasms | reference |
| Mental disorders | 0.75 (0.70, 0.80) |
| Diseases of the nervous system and sense organs | 0.84 (0.79, 0.89) |
| Diseases of the circulatory system | 0.75 (0.71, 0.79) |
| Diseases of the respiratory system | 0.68 (0.64, 0.73) |
| Symptoms, signs, and ill-defined conditions | 0.77 (0.73, 0.82) |
| Other | 0.57 (0.52, 0.62) |
| Days from hospice enrollment to death (continuous variable) |
1.00 (1.00, 1.00) |
| Geographic Factors | |
| Metro residence | |
| No | 0.98 (0.88, 1.10) |
| Micorpolitan | 0.84 (0.77, 0.92) |
| Metropolitan | reference |
| Median income of county | |
| Less than $33,000 | 0.83 (0.59, 1.18) |
| $33,000-40,000 | 0.86 (0.75, 0.99) |
| $40,000-50,000 | 0.91 (0.82, 1.02) |
| $50,000-63,000 | 0.94 (0.86, 1.03) |
| $63,000 or more | reference |
| Percent ≤ HS education of zip code | |
| Less than 60% | 1.05 (0.60, 1.82) |
| 60 to <70% | 0.86 (0.67, 1.12) |
| 70 to <80 % | 0.95 (0.85, 1.07) |
| 80 to <90% | 0.93 (0.86, 1.01) |
| 90% or more | reference |
| Hospice-level factors | |
| Hospice ownership | |
| Nonprofit | 0.53 (0.46, 0.61) |
| For-profit | reference |
| Year of hospice operation | |
| ≥24 | 0.54 (0.44, 0.65) |
| 19-24 | 0.55 (0.46, 0.65) |
| 10-19 | 0.60 (0.52, 0.69) |
| <10 | reference |
| Number of hospice admission during study period | |
| ≥1,247 | 3.78 (3.18, 4.50) |
| 545-1247 | 1.54 (1.31, 1.83) |
| 241-545 | 1.05 (0.91, 1.23) |
| <241 | reference |
| Market concentration | |
| Competitive market | 0.95 (0.78, 1.15) |
| Moderately concentrated market | 1.02 (0.81, 1.27) |
| Highly concentrated market | reference |