Work

Trends in the use of advance care planning and cognitive assessment and care planning service visits: moving toward a palliative‐informed approach for ambulatory care of community‐dwelling persons with dementia and their caregivers

Year: 2025

Type: article

Abstract: INTRODUCTION: Both the advance care planning (ACP) visit and cognitive assessment and care planning service (CAACPS) visit offer palliative-oriented care for persons with Alzheimer's disease and related dementias (ADRD); however, the rate of ACP visits remains low, and little has been reported regarding CAACPS visits. Furthermore, few reports describe use of either visit among Medicare Advantage (MA) beneficiaries. This study describes provision of ACP and CAACPS visits to community-dwelling older adult MA beneficiaries with ADRD. METHODS: Using deidentified Optum Clinformatics Data Mart claims data, we evaluated ambulatory care visits for community-dwelling older adult MA beneficiaries with ADRD for the years 2018 to 2019. RESULTS: For 2018 and 2019, 3.5% and 5.4% received ACP visits, and 0.4% and 0.5% received CAACPS visits, similar to use reported elsewhere. DISCUSSION: Few MA beneficiaries with ADRD received ACP or CAACPS visits, and the delivery of CAACPs visits is similar to that reported for non-MA beneficiaries. HIGHLIGHTS: Most persons with dementia are community-dwelling and disproportionately disadvantaged. Access to palliative care is limited for community-dwelling persons with dementia. CAACPS visits may address this gap. Our findings show the use of CAACPS visits is very low.

Source: Alzheimer s & Dementia

DOI: 10.1002/alz.70074

Authors: Jennifer B. Seaman, Yurun Cai, Dianxu Ren

Institution: University of Pittsburgh

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,200