Peer-Reviewed Publication
J Am Geriatr Soc2023;71(11):3457-3466.November 1, 2023Journal Article
Association between physicians' geriatric training and patterns of end-of-life care delivered to persons with dementia.
Hiroshi Gotanda1, Jessica J Zhang2, David B Reuben3, Anne M Walling4,5, Haiyong Xu4, Anupam B Jena6,7, Nate Gross8, Yusuke Tsugawa4,9
1Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
2Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
3Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
4Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
5Greater Los Angeles Veterans Affairs Healthcare System, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
6Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
7Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
8Doximity, San Francisco, California, USA.
9Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.
Abstract
BACKGROUND: Geriatric training is designed to prepare physicians to meet the complex needs of older adults, including persons with dementia at the end-of-life (EOL) stage. We sought to compare patterns of EOL care delivered to persons with dementia between physicians with versus without geriatric training.
METHODS: We conducted a cross-sectional study of a 20% random sample of fee-for-service Med…
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