{"id":21680,"date":"2025-04-08T08:00:00","date_gmt":"2025-04-08T12:00:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=news_release&#038;p=21680"},"modified":"2025-04-08T16:28:40","modified_gmt":"2025-04-08T20:28:40","slug":"language-concordant-care-linked-to-better-end-of-life-outcomes-for-chinese-speaking-long-term-care-residents","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/language-concordant-care-linked-to-better-end-of-life-outcomes-for-chinese-speaking-long-term-care-residents\/","title":{"rendered":"Language-concordant care linked to better end-of-life outcomes for Chinese-speaking long-term care residents"},"content":{"rendered":"<p><i><span data-contrast=\"auto\">Study shows greater use of acute care, but lower odds of frequent and severe pain at end-of-life<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">March 11, 2025 \u2013 Receiving care in language-concordant long-term care homes is associated with better end-of-life outcomes for Chinese-speaking older adults, according to a <\/span><a href=\"https:\/\/www.jamda.com\/article\/S1525-8610(25)00060-X\/fulltext\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">new study published<\/span><\/a><span data-contrast=\"auto\"> in the <\/span><i><span data-contrast=\"auto\">Journal of the American Medical Directors Association (JAMDA)<\/span><\/i><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The study compared health outcomes of Chinese-speaking residents in ethnocentric long-term care (LTC) homes, where they were likely to receive care in their primary language, versus non-ethnic homes across Ontario, Canada.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Researchers found Chinese-speaking residents receiving care in language-concordant homes were significantly less likely to report frequent and severe pain or to receive subcutaneous pain medication near end-of-life compared to non-Chinese-speaking residents in non-ethnic homes.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">\u201cThere is a need for provision of culturally appropriate care that reflects our population\u2019s ethnic diversity,\u201d says Amy Hsu, PhD, Investigator at the Bruy\u00e8re Health Research Institute and Lecturer in the University of Ottawa\u2019s Department of Family Medicine. \u201cMinoritized seniors who need long-term care services deserve to receive care in a home-like environment, surrounded by people who they can converse with and receive care that is aligned with their cultural values, and we can see there are significant health benefits to having cultural and language-concordant care, especially toward end-of-life.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Findings also showed that Chinese-speaking residents had more hospitalizations in their last 90 days of life compared to non-Chinese-speaking residents, regardless of the language spoken in the home. Residents in ethnic Chinese LTC homes, regardless of their primary language, were also more likely to be hospitalized within the last three days of life, <\/span><span data-contrast=\"auto\">even after controlling for other health and demographic variables.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Chinese-speaking residents additionally had higher odds of dying in hospital compared to non-Chinese-speaking residents, in both language-concordant and language-discordant homes.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">\u201cPrevious research does show higher rates of acute care use among Chinese individuals compared to the general population,\u201d says lead author Prabasha Rasaputra, MSc, Research Assistant at Bruy\u00e8re Health Research Institute. \u201cThis may be due to cultural reluctance to engage in advanced care planning, making a language-concordant care environment even more important, where residents can communicate effectively with health care providers.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><span data-contrast=\"auto\">\u201cEnd-of-life acute care use and pain-related outcomes in Chinese-speaking residents in Canadian long-term care homes\u201d was published in the <\/span><i><span data-contrast=\"auto\">Journal of the American Medical Directors Association<\/span><\/i><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><b><span data-contrast=\"auto\">Bruy\u00e8re Health Research Institute<\/span><\/b><span data-contrast=\"auto\"> conducts world-class research to maximize quality of life and shape the future health care. As part of an academic sciences centre, our research supports evidence-based care with a focus on aging and long-term care, palliative care, rehabilitation and recovery, and social accountability. To learn more, visit <\/span><a href=\"https:\/\/www.bruyere.org\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">www.bruyere.org<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><b><span data-contrast=\"auto\">ICES<\/span><\/b><span data-contrast=\"auto\">\u202fis an independent, not-for-profit research and analytics institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. ICES leads cutting-edge studies and analyses evaluating healthcare policy, delivery, and population outcomes. Our knowledge is highly regarded in Canada and abroad and is widely used by government, hospitals, planners, and practitioners to make decisions about healthcare delivery and to develop policy. For the latest ICES news, follow us on BlueSky: @ICESOntario<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">This study was funded by the Canadian Institute for Health Research and by Health Canada.<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-teams=\"true\">Credit: Jasmine Rooke, Bruy\u00e8re Health Research Institute<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Study shows greater use of acute care, but lower odds of frequent and severe pain at end-of-life\u00a0 March 11, 2025 \u2013 Receiving care in language-concordant long-term care homes is associated with better end-of-life outcomes for Chinese-speaking older adults, according to a new study published in the Journal of the American Medical Directors Association (JAMDA).\u00a0 The [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[33,20,19],"class_list":["post-21680","news_release","type-news_release","status-publish","hentry","topic-end-of-life-care","topic-health-and-health-care-inequality","topic-marginalized-populations"],"acf":{"infographic":"","journal_article":[21615],"research_report":"","atlas":"","research_program":[6745],"site":[6734],"ices_scientist":"","announce_or_event":"","video":"","iitn_type":"Article","iitn_title":"","iitn_short_title":"","iitn_source_link_url":"","iitn_source_link_text":"","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 | Language-concordant care linked to better end-of-life outcomes for Chinese-speaking long-term care residents<\/title>\n<meta name=\"description\" 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