What are Hospice Providers in the Carolinas Doing to Reach African Americans in Their Service Area?
What are Hospice Providers in the Carolinas Doing to Reach African Americans in Their Service Area?
复制标题
卡罗莱纳州的临终关怀提供者正在采取哪些措施来接触其服务区域内的非裔美国人？
DOI：
10.1089/jpm.2015.0438
复制
发表时间：
2016
影响因子：
2.8
通讯作者：
Kuchibhatla,MaragathaN
中科院分区：
文献类型：
--
作者：
Johnson,KimberlyS;Payne,Richard;Kuchibhatla,MaragathaN
背景：专家和国家组织建议，临终关怀工作，以增加服务非洲裔美国人，一组在hospice.Objective. The研究的目的是描述战略之间的临终关怀在北和南卡罗来纳州，以增加服务非洲裔美国人，并确定临终关怀的特点与这些efforts.Methods：该研究是一项横断面调查，使用社区教育/推广，定向营销，努力招募非洲裔美国人的工作人员，文化敏感性培训，并增加服务非洲裔美国人的目标。我们使用非参数Wilcoxon检验来比较平均量表得分的样本characteristics.Results：118个合格的临终关怀，79（67%）完成了调查。超过80%的人至少对他们服务的非裔美国人比例低感到担忧，78.5%的人制定了增加对非裔美国人服务的目标。大多数人从事社区教育/外展，92.4%的人报告外展到教堂，76.0%的社会服务组织，40.5%的企业，35.4%的民间团体，超过一半的医疗保健提供者; 48.0%的人报告通过报纸和40.5%通过广播直接营销。绝大多数报告努力招聘非裔美国人工作人员，最常见的是注册护士（63.75%）。近90%的公司为员工提供文化敏感性培训。频率的策略，以增加服务非洲裔美国人并没有不同的临终关怀的特点，如利润状况，规模，或垂直整合，但更大的临终关怀，已设定的目标，以增加服务非洲裔American.Conclusions：许多临终关怀正在努力增加服务非洲裔美国人。未来的研究应该确定哪些策略是最有效的。
Background:Experts and national organizations recommend that hospices work to increase service to African Americans, a group historically underrepresented in hospice.Objective:The study objective was to describe strategies among hospices in North and South Carolina to increase service to African Americans and identify hospice characteristics associated with these efforts.Methods:The study was a cross-sectional survey using investigator-developed scales to measure frequency of community education/outreach, directed marketing, efforts to recruit African American staff, cultural sensitivity training, and goals to increase service to African Americans. We used nonparametric Wilcoxon tests to compare mean scale scores by sample characteristics.Results:Of 118 eligible hospices, 79 (67%) completed the survey. Over 80% were at least somewhat concerned about the low proportion of African Americans they served, and 78.5% had set goals to increase service to African Americans. Most were engaged in community education/outreach, with 92.4% reporting outreach to churches, 76.0% to social services organizations, 40.5% to businesses, 35.4% to civic groups, and over half to health care providers; 48.0% reported directed marketing via newspaper and 40.5% via radio. The vast majority reported efforts to recruit African American staff, most often registered nurses (63.75%). Nearly 90% offered cultural sensitivity training to staff. The frequency of strategies to increase service to African Americans did not vary by hospice characteristics, such as profit status, size, or vertical integration, but was greater among hospices that had set goals to increase service to African Americans.Conclusions:Many hospices are engaged in efforts to increase service to African Americans. Future research should determine which strategies are most effective.