Khosla and her MU colleagues, Angela Curl and Karla Washington, investigated the trends in advance care planning from 2002 to 2010 using data from the Health and Retirement Study, a nationally representative U.S. sample of individuals who are 50 years or older. They found that engaging in advance care planning was not strongly linked to socioeconomic status or level of education. However, they found that individuals with higher household incomes were more likely to have legally designated someone to make health decisions on their behalf in the event they could not make the decisions for themselves.
“It’s likely that local and national efforts to inform citizens about the importance of advance care planning are working,” said Curl, an assistant professor in the MU School of Social Work. “The good news is that we are making progress as a society, and economic discrepancies do not appear to be factors. We don’t want an income or education gap to prevent people from engaging in advance care planning.”
Previous research has shown advance care planning leads to fewer hospitalizations at the end of life and reduced duration of hospitalizations, which is consistent with the preferences of many people, Khosla said.
“When individuals share their end-of-life preferences with loved ones, they’re more likely to have their wishes honored,” Khosla said.
The study, “Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status,” will be published in the American Journal of Hospice and Palliative Medicine. The School of Social Work is part of the MU College of Human Environmental Sciences. Karla Washington is an assistant professor of family and community medicine in the MU School of Medicine.