The influence of patient and carer age in access to palliative care services

Age and Ageing
G E GrandeC J Todd

Abstract

Older patients are less likely to receive palliative care than younger patients. As patient and primary carer age correlate positively, patterns may be due to carer rather than patient age, and reflect better ability to obtain support among younger carers. To investigate how both patient and carer age relate to palliative care use, controlling for relevant variables. Comparison of patients who received community Macmillan nurse specialist advice, Marie Curie nursing or inpatient hospice care with patients who did not, using univariate analysis and multivariate logistic regression. Patient and carer data were collected through electronic service record linkage and carer post-bereavement interviews. patients referred to a hospice at home service whose primary carer could be interviewed (n = 123). Whilst a cancer diagnosis was an important determinant of access for all services considered, logistic regression shows that carer age, but not patient age, and hospice at home access predicted Marie Curie nursing use. Both patient and carer age predicted use of Macmillan nurse advice. Age of the patient, but not carer age, predicted admission to inpatient hospice, alongside requiring care for over a month (all P < 0.05). Carer age may b...Continue Reading

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Citations

Feb 27, 2013·Journal of Palliative Medicine·Lisa MasucciPeter C Coyte
Sep 8, 2010·Age and Ageing·Ebun AbarshiBregje Onwuteaka-Philipsen
Oct 9, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Julia Hannum RoseNeal V Dawson
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Sep 27, 2014·BMJ Supportive & Palliative Care·Sheila PayneChristine Milligan
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Feb 21, 2021·BMJ Supportive & Palliative Care·Jake TobinStephen Barclay
Jun 14, 2021·Journal of Pain and Symptom Management·Brett R CurtisDio Kavalieratos

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