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Advance directive documentation among adult day services centers and use among participants, by region and center characteristics : National Study of Long-Term Care Providers, 2016
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  • Description:
    Objectives—This report describes the percentage of adult day services centers (ADSCs) that typically maintain documentation of participants’ advance directives by region and center characteristics. Further, among ADSCs that maintain documentation, this report describes the percentage of participants with advance directives by region and center characteristics.

    Methods—Data are from the ADSC component of the 2016 National Study of Long-Term Care Providers, a biennial survey conducted by the National Center for Health Statistics. The measures included whether the center typically maintains documentation of participants’ advance directives and among those ADSCs with documentation, the percentage of participants with an advance directive. Differences in maintaining documentation and participants with advance directives by U.S. region and selected center-level characteristics were evaluated using two-sided chi-squared and t tests at the p less than 0.05 level.

    Results—In 2016, 78.1% of ADSCs maintained documentation of advance directives, with the Northeast having the highest percentage among the U.S. regions. A higher percentage of Medicaid-licensed ADSCs maintained documentation of advance directives compared with ADSCs that were not Medicaid licensed. Among ADSCs that maintained documentation, about 38% of participants had an advance directive in their files. Small ADSCs had a higher percentage of participants with advance directives compared with medium and large ADSCs.

    Suggested citation: Lendon JP, Caffrey C, Lau DT. Advance directive documentation among adult day services centers and use among participants, by region and center characteristics: National Study of Long-Term Care Providers, 2016. National Health Statistics Reports; no 117. Hyattsville, MD: National Center for Health Statistics. 2018

    CS295207

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