Abstract 16291: Comparing Predictors of Heart Failure and Cancer Caregiver Satisfaction with Hospice Care
Introduction: Heart failure patients are increasingly enrolling in hospice care, along with their informal caregivers. While caregiver satisfaction with hospice influences both patient and caregiver outcomes, we know little about predictors of caregiver satisfaction. Secondly, previous research has been done almost exclusively in the cancer population.
Objective: Our aim was to identify predictors of caregiver satisfaction, then explore whether predictors differ between heart failure and cancer caregivers.
Methods: This was a retrospective cohort study of national data collected in 2011 by the National Hospice and Palliative Care Organization using the Family Evaluation of Hospice Care (FEHC). We drew stratified random samples (n=1000 each) from the available FEHC responses of adult heart failure (n=19,818) and cancer (n=70,782) caregivers. We used multiple linear regression to examine the relationship between possible predictors and caregiver satisfaction. Predictors examined included caregiver and patient demographics, clinical characteristics and hospice characteristics.
Results: In the heart failure cohort, caregiver age, relationship, patients’ symptoms, and caregiver education predicted satisfaction (p<0.02). In the cancer cohort, caregiver age, relationship, patients’ symptoms, patient education, and length of hospice stay predicted caregiver satisfaction (p<0.02). Specifically, younger, spousal and more educated caregivers were less satisfied with hospice care in both cohorts. Caregivers reporting patient symptoms were less satisfied with hospice care than caregivers of non-symptomatic patients.
Conclusions: Hospices should seek to identify and further support vulnerable caregivers. Particular attention needs to be devoted to identifying and managing patient symptoms to the satisfaction of caregivers.
Author Disclosures: M.A. MacKenzie: None. H.G. Buck: None. S.H. Meghani: None. B. Riegel: None.
- © 2014 by American Heart Association, Inc.