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Peer-Reviewed Publication
J Am Geriatr Soc2024;72(7):2070-2081.July 1, 2024Journal Article

Association between physician age and patterns of end-of-life care among older Americans.

Hiroshi Gotanda1, Ryo Ikesu2,3, Anne M Walling2,4, Jessica J Zhang5, Haiyong Xu2, David B Reuben6, Neil S Wenger2, Cheryl L Damberg7, David S Zingmond2, Anupam B Jena8,9, Nate Gross10, Yusuke Tsugawa2,11
1Division of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
2Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
3Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
4Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA.
5Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
6Multicampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
7RAND Corporation, Santa Monica, California, USA.
8Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
9Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
10Doximity, San Francisco, California, USA.
11Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.

Abstract

BACKGROUND: End-of-life (EOL) care patterns may differ by physician age given differences in how physicians are trained or changes associated with aging. We sought to compare patterns of EOL care delivered to older Americans according to physician age. METHODS: We conducted a cross-sectional study of a 20% sample of Medicare fee-for-service beneficiaries aged ≥66 years who died in 2016-2019 (n =…

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