Older Adults' Unmet Needs at the End of Life: A Cross-Country Comparison of the United States and England.

TitleOlder Adults' Unmet Needs at the End of Life: A Cross-Country Comparison of the United States and England.
Publication TypeJournal Article
Year of PublicationForthcoming
AuthorsSwearinger, H, Lapham, JL, Martinson, ML, Berridge, C
JournalJournal of Aging and Health
Pagination8982643241245249
ISSN Number1552-6887
Keywordscomparative analysis; end of life; healthcare disparities; older adults; unmet needs
Abstract

This study aimed to compare the end-of-life (EOL) experiences in concentration with place of death, for older adults in the U.S. and England. Weighted comparative analysis was conducted using harmonized Health and Retirement Study and English Longitudinal Study of Ageing datasets covering the period of 2006-2012. At the EOL, more older adults in the U.S. (64.14%) than in England (54.09%) had unmet needs (I/ADLs). Home was the main place of death in the U.S. (47.34%), while it was the hospital in England (58.01%). Gender, marital status, income, place of death, previous hospitalization, memory-related diseases, self-rated health, and chronic diseases were linked to unmet needs in both countries. These findings challenge the existing assumptions about EOL experiences and place of death outcomes, emphasizing the significance of developing integrated care models to bolster support for essential daily activities of older adults at the EOL.

DOI10.1177/08982643241245249
Citation Key13896
PubMed ID38613317