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• W3202406204 abstract "Black people diagnosed with terminal cancer have greater odds of intensive care unit and emergency department admissions, and those with lung cancer are also more likely to undergo mechanical ventilation.1 Black patients with trauma are more likely to undergo highly invasive procedures and experience physician and systems-based biases compared with White patients with trauma.2 When addressing end-of-life matters, physicians offer less information about a diagnosis, prognosis, and treatments to Black patients.1,2 Failure to share such information can lead to care that is discordant with patient values and late referrals to hospice or palliative care services. Black patients are more likely to have difficulty accessing medications;their caregivers are less likely to receive home visits from care providers and aides, even when enrolled in hospice.3 Successful end-of-life care relies on trusting relationships between physicians and patients.5,6 Trust in physicians is associated with higher patient satisfaction, better perceived quality of care, enhanced treatment adherence, improved satisfaction, and higher quality of life with fewer symptoms.7–9 Extra effort is needed to build trust with minority patients in interracial settings.10–12 Research shows that building trust depends on the physician's communication skills and knowledge about the patient.8 Successful communication in end-of-life care includes the assessment of patients' values, beliefs, and preferences before life-altering decisions need to be made. Black patients often rely on religious community support for medical decision-making.24 Spiritual beliefs may influence care preferences, as evidenced by belief in divine intervention or miracles, that suffering is redemptive, and that God alone determines life and death.25 Racial disparities at the end of life can be mitigated through improved communication, relationship building, advance care planning, and community outreach." @default.
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• W3202406204 date "2021-10-01" @default.
• W3202406204 modified "2023-09-23" @default.
• W3202406204 title "Racial Disparities at the End of Life" @default.
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