Document Detail

Overcoming barriers to access and utilization of hospice and palliative care services in African-American communities.
MedLine Citation:
PMID:  16021737     Owner:  KIE     Status:  MEDLINE    
While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.
Carole A Winston; Paula Leshner; Jennifer Kramer; Gillian Allen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Omega     Volume:  50     ISSN:  0030-2228     ISO Abbreviation:  Omega (Westport)     Publication Date:    2004-2005
Date Detail:
Created Date:  2005-07-15     Completed Date:  2005-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272106     Medline TA:  Omega (Westport)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  151-63     Citation Subset:  E    
University of North Carolina at Charlotte, College of Health and Human Services, Department of Social Work, 9201 University City Boulevard, Charlotte, NC 28223, USA.
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MeSH Terms
African Continental Ancestry Group* / psychology
Attitude of Health Personnel
Attitude to Death
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Hospice Care / utilization*
Life Support Care
Palliative Care / utilization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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