Barriers to Hospice Use among African Americans: A Systematic Review
Barriers to Hospice Use among African Americans: A Systematic Review
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DOI：
10.1093/hsw/33.4.267
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发表时间：
2008-11-01
影响因子：
1.5
通讯作者：
Stephens, Nathan
中科院分区：
文献类型：
--
作者：
Washington, Karla T.;Bickel-Swenson, Denise;Stephens, Nathan
本审查是为了探讨最近的证据，在专业文献有关使用临终关怀服务的非洲裔美国人。本文讨论了研究方法，已被用来研究非裔美国人临终关怀的使用，障碍，非裔美国人参与临终关怀已被确定，和干预措施，旨在增加非裔美国人使用临终关怀服务，已被测试的数量。结果表明，定性和定量的方法已经确定了以下关键因素，有助于未充分利用临终关怀服务的非裔美国人社区的成员：个人或文化价值观与临终关怀哲学冲突，缺乏临终关怀服务的认识，对家庭负担的关注，经济因素，对医疗保健系统的不信任，以及预期缺乏少数民族员工在临终关怀机构。未来的社会工作研究和实践与绝症的非裔美国人及其家庭的影响，包括努力定量确定是否确定的关键因素作出重大贡献的决定，他们对临终关怀。此外，建议进行社会工作干预研究，以提供经过测试的干预措施，旨在增加具有成本效益和文化能力的临终关怀服务的使用。
The present review was undertaken to explore recent evidence in the professional literature pertaining to use of hospice services by African Americans. The article addresses the research methods that have been used to study African American hospice use, obstacles to African American participation in hospice that have been identified, and interventions designed to increase the number of African Americans using hospice services that have been tested. Results indicate that both qualitative and quantitative methods have identified the following key factors that contribute to the underuse of hospice services by members of the African American community: personal or cultural values in conflict with hospice philosophy, lack of awareness of hospice services, concern about burdening family, economic factors, mistrust of the health care system, and expected lack of ethnic minority employees in hospice agencies. Implications for future social work research and practice with terminally ill African Americans and their families include efforts to quantitatively determine whether the identified key factors contribute significantly in the decisions they make regarding end-of-life care. In addition, social work intervention studies are recommended to offer tested interventions designed to increase the use of hospice services that are cost-effective and culturally competent.