Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities
Bibliographic Data
| ID | 13629450 |
|---|---|
| Authors | Carole A Winston (0000-0003-0261-966X, University of North Carolina at Charlotte, corresponding author), Paula Leshner (University of North Carolina at Charlotte), Jennifer Kramer (University of North Carolina at Charlotte), Jennifer R Kramer (0000-0003-2953-4949, University of North Carolina at Charlotte), Gillian Allen (University of North Carolina at Charlotte) |
| Year | 2005 |
| Volume | 50 |
| Issue | 2 |
| Pages | 151-163 |
| Publication date | 2005-03-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | OMEGA - Journal of Death and Dying (JOURNAL) |
| Journal identifiers | ISSN: 0030-2228 • E-ISSN: 1541-3764 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.2190/qqkg-epfa-a2fn-ghvl |
| PMID | 16021737 |
| OpenAlex | W2031051374 |
| Language | EN |
| Citations received | 3 |
| References cited | 14 |
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
Business · Distrust · Health care · Hospice care · Palliative care · Political science · Service (business · Grief, Bereavement, and Mental Health · Marketing · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Religion, Spirituality, and Psychology
| Citations per year | 0.18 |
|---|---|
| Citation span | 2009 - 2017 (9) |
| Highly cited | No |