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Exploring uncertainty in advance care planning in African Americans: does low health literacy influence decision making preference at end of life

TitleExploring uncertainty in advance care planning in African Americans: does low health literacy influence decision making preference at end of life
Publication TypeJournal Article
Year of Publication2011
AuthorsMelhado, L, Bushy, A
JournalAm J Hosp Palliat CareAm J Hosp Palliat Care
Volume28
Pagination495-500
Date PublishedNov
ISBN Number1938-2715 (Electronic)<br/>1049-9091 (Linking)
Accession Number21398263
KeywordsAdvance Care Planning/ organization & administration, African Americans, Aged, Attitude to Death, Communication, Decision Making, Health Knowledge, Attitudes, Practice/ ethnology, Health Literacy/ statistics & numerical data, Health Policy, Healthcare Disparities, Humans, Needs Assessment, Patient Preference/ ethnology, Physician-Patient Relations, Terminal Care, Uncertainty
AbstractAfrican Americans over 65 represent 3.5 of the 35.6 million Americans. Morbidity and mortality rates are highest among this group; associated with lack of resources and awareness of health problems. But health needs are the same at end of life, yet care is less than optimal. African Americans are less likely to have advance directives nonetheless desire communication, information, respect, and a trusting doctor-patient relationship. Low health literacy may contribute to this disparity. This scholarly review examines the health literacy in advance care planning and refines concepts of uncertainty in illness theory deriving a model for advance care planning in African Americans.
Ethno Med: