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Hospice utilization and end-of-life care decision making of African Americans

TitleHospice utilization and end-of-life care decision making of African Americans
Publication TypeJournal Article
Year of Publication2010
AuthorsMazanec, PM, Daly, BJ, Townsend, A
JournalAm J Hosp Palliat CareAm J Hosp Palliat Care
Volume27
Pagination560-6
Date PublishedDec
ISBN Number1938-2715 (Electronic)<br/>1049-9091 (Linking)
Accession Number21071435
KeywordsAfrican Americans, Attitude to Health/ethnology, Cultural Competency, Decision Making, Healthcare Disparities, Hospices/ utilization, Humans, Models, Psychological, Professional-Family Relations, Terminal Care, Trust, United States
AbstractMultiple, complex factors influence end-of-life (EOL) decisions for all persons. In the African American population, these factors include history of disparities and discrimination in health care, which may affect the individual and the family, family system beliefs, values, and practices, and health care system issues. Family dynamics have an especially important role in treatment decisions for loved ones with advanced disease. A family systems framework can guide the clinicians in appreciating care needs and preferences at EOL. Understanding why so many African Americans choose aggressive and often burdensome care, even at the expense of suffering, is important for communication about options at the EOL and the delivery of quality care at the EOL.
Ethno Med: