{"id":21615,"date":"2025-03-11T13:31:36","date_gmt":"2025-03-11T17:31:36","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21615"},"modified":"2025-03-18T11:29:37","modified_gmt":"2025-03-18T15:29:37","slug":"end-of-life-acute-care-use-and-pain-related-outcomes-in-chinese-speaking-residents-in-canadian-long-term-care-homes","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/end-of-life-acute-care-use-and-pain-related-outcomes-in-chinese-speaking-residents-in-canadian-long-term-care-homes\/","title":{"rendered":"End-of-life acute care use and pain-related outcomes in Chinese-speaking residents in Canadian long-term care homes"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014 Patients from ethnically minoritized communities often face disparities in health care due to language and cultural barriers. This study aimed to compare health care use and end-of-life outcomes between Chinese-speaking residents living in language-concordant and language-discordant long-term care (LTC) homes.<\/p>\n<p><strong>Design<\/strong> \u2014 Retrospective cohort study.<\/p>\n<p><strong>Setting and participants<\/strong> \u2014 A total of 69,630 LTC residents who died between January 2017 and December 2019 in Ontario, Canada.<\/p>\n<p><strong>Methods<\/strong> \u2014 We compared Chinese-speaking residents in ethnic Chinese LTC homes (n \u00bc 931) (ie, language concordance) with Chinese-speaking residents in non-Chinese homes (n \u00bc 510) (ie, language discordance), non-Chinese-speaking residents in ethnic Chinese homes (n \u00bc 408), and non-Chinese-speaking residents in all other homes (n \u00bc 67,781). Primary language spoken by the resident captured in the Resident Assessment Instrument-Minimum Data Set was used to classify residents as Chinese- or non-Chinese-speaking. Ethnic Chinese homes included those formally designated as a Chinese cultural home or where at least 20% of its residents spoke Chinese as their primary language. Main outcomes were hospitalization, emergency department visits, pain management in the last 3 days of life, and location of death.<\/p>\n<p><strong>Results<\/strong> \u2014 Residents in ethnic Chinese LTC homes, irrespective of their primary language, were significantly more likely to be admitted to hospitals in the last 3 days of life. Similarly, Chinese-speaking residents in all homes and all residents receiving care in ethnic Chinese homes were more likely to die in hospital than non-Chinese-speaking residents in all other homes. Chinese-speaking residents in language concordant homes were less likely to report frequent and severe pain (odds ratio, 0.3; 95% CI, 0.2 e0.7) than non-Chinese-speaking residents in other homes.<\/p>\n<p><strong>Conclusions and implications<\/strong> \u2014 Chinese-speaking residents and residents in ethnic Chinese homes were more likely to be hospitalized at the end of life and die in hospitals. However, receiving care in a language-concordant environment was associated with lower odds of reporting frequent and severe pain near the end of life among Chinese-speaking LTC residents.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 Patients from ethnically minoritized communities often face disparities in health care due to language and cultural barriers. This study aimed to compare health care use and end-of-life outcomes between Chinese-speaking residents living in language-concordant and language-discordant long-term care (LTC) homes. Design \u2014 Retrospective cohort study. Setting and participants \u2014 A total of 69,630 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[33,20,19],"migration-helper-qa-sample-set":[],"class_list":["post-21615","journal_article","type-journal_article","status-publish","hentry","topic-end-of-life-care","topic-health-and-health-care-inequality","topic-marginalized-populations"],"acf":{"citation":"Rasaputra P, Sun AH, Clarke AE, Fung C, Jia Z, Quail PB, Tanuseputro P, Robert B, Huang M, Hsu AT. <em>J Am Med Dir Assoc<\/em>. 2025; Mar 11 [Epub ahead of print].","source_url":"https:\/\/www.jamda.com\/article\/S1525-8610(25)00060-X\/fulltext","ices_scientist":"","site":[6734],"research_program":[6745],"news_release":[21680],"journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | End-of-life acute care use and pain-related outcomes in Chinese-speaking residents in Canadian long-term care homes<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 Patients from ethnically minoritized communities often face disparities in health care due to language and cultural barriers. 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