{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:14:30Z","timestamp":1780100070525,"version":"3.54.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Historically palliative care(PC) is utilized less in Hispanic and non-Hispanic Black(NHB) persons compared to non-Hispanic White(NHW). The potential for community and social factors to be fundamental to the disproportionality of disease burden and PC utilization is worthy of exploration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Explore the collective impact of race, ethnicity, and neighborhood disadvantage on PC utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study utilizing inpatient electronic health records of adult patients now deceased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants<\/jats:title>\n                    <jats:p>Included NHB, Hispanic, or NHW adult patients(age&gt;18 years) admitted to midwestern healthcare system hospitals between 2009-2022 for solid cancer, cardiovascular, or cerebrovascular diseases that died within 12 months of hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>24,243 total patients qualified based upon inclusion criteria(NHW (n = 21,346; 88.05%), NHB(n = 2666;11.00%) Hispanic patients (n = 231;0.95%)). In PC Offered, NHB(OR = 1.36) and Hispanic persons(OR = 1.17) were no less likely to be offered PC than NHW. Higher comorbidity index scores(OR = 1.13%), cerebrovascular disease(OR = 1.13), and do not resuscitate(DNR)(OR = 5.09) were more likely to be offered PC. ADI was not associated with increased likelihood of being offered PC. In PC Accepted, NHB(OR = 1.37), Hispanic(OR = 1.40), cardiovascular (OR = 1.12), cerebrovascular(OR = 1.40), comorbidity index scores(1.11),and DNR(OR = 5.79) were more likely to accept PC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NHB and Hispanic persons were no less likely to be offered and were more likely to accept PC than NHW. PC services were offered to less than 40% of eligible patients. Of those who were offered PC, over 70% accepted care. The increased likelihood of PC being offered and accepted when comorbidity index scores are higher, and DNR suggests utilization of PC at end-of-life and not throughout serious illness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091251358381","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T13:56:49Z","timestamp":1752069409000},"page":"736-744","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Race, Ethnicity, Neighborhood Disparities and Palliative Care Utilization: Retrospective Cohort Study"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0964-7420","authenticated-orcid":false,"given":"Karen S.","family":"Moore","sequence":"first","affiliation":[{"name":"Saint Louis University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Colbert","sequence":"additional","affiliation":[{"name":"Duquesne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick","family":"Zoucha","sequence":"additional","affiliation":[{"name":"Duquesne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verna","family":"Hendricks-Ferguson","sequence":"additional","affiliation":[{"name":"Saint Louis University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Taylor","sequence":"additional","affiliation":[{"name":"Saint Louis University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnab130"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120966585"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0347"},{"key":"e_1_3_4_5_2","unstructured":"World Health Organization (WHO). 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