文献类型：期刊文献

英文题名：Quality of death among older adults in China: The role of medical expenditure and timely medical treatment

作者：Gong, Xiuquan[1];Pei, Yaolin[2];Zhang, Min[1];Wu, Bei[2]

机构：[1]East China Univ Sci & Technol, Social Sci & Publ Adm, Shanghai, Peoples R China;[2]New York Univ, Rory Meyers Coll Nursing, New York, NY 10012 USA

年份：2023

卷号：35

期号：5

起止页码：667

外文期刊名：JOURNAL OF AGING & SOCIAL POLICY

收录：;WOS:【SSCI(收录号:WOS:000801196600001)】；

基金：This work was supported by the Humanities and Social Science Foundation of Ministry of Education of China [19YJAZH022].

语种：英文

外文关键词：Quality of death; older adults; medical expenditure; timely medical treatment

摘要：Medical expenses in the last year of life consume a large portion of healthcare expenditures, yet little is known about the relationship between medical expenditures in the last year of life and quality of death. Few empirical studies have investigated the association between timely medical treatment before dying and quality of death. This study aimed to examine the associations between medical expenditures in the last year of life, timely medical treatment before dying, and quality of death. Data derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), the largest national representative study of the oldest-old in China. Results from multinomial logistic regression suggested that higher medical expenses in the last year of life and lack of timely medical treatment before dying are associated with lower quality of death. These findings highlight an urgent need for strengthening education on death and dying, developing hospice and palliative care services, and improving pain management at the end of life in China.