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Compared to White patients without PCC, White patients with PCC were 14 times more likely to be discharged to hospice from index hospitalization (3.0% vs. 42.7%, P less then 0.0001). Conclusion In propensity-matched cohorts of seriously ill patients, palliative care consultation to discuss goals-of-care was associated with significant increases in hospice enrollment at discharge among both African Americans and Whites. Research is needed to understand how PCC influences decision-making by race, how PCC is associated with post-discharge