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dc.contributor.authorHughes, M. Courtney, 1976--en_US
dc.contributor.authorVernon, Erinen_US
dc.date.accessioned2020-05-21T15:40:22Z
dc.date.available2020-05-21T15:40:22Z
dc.date.issued2020-05
dc.identifier.otherhttps://doi.org/10.1177/2333721420920414
dc.identifier.urihttps://commons.lib.niu.edu/handle/10843/22485
dc.description.abstractBackground: Racial/ethnic minority populations in the United States are less likely to utilize hospice services nearing their end of life, potentially diminishing their quality of care while also increasing medical costs. Objective: Explore the minority hospice utilization gap from the hospice perspective by examining perceived barriers and facilitators as well as practices and policies. Method: Qualitative surveys were conducted with 41 hospices across the United States. Qualitative data analysis included performing a limited content analysis, including the identification of themes and representative quotations. Results: Commonly reported barriers to hospice care for racial/ethnic minorities included culture/beliefs, mistrust of the medical system, and language barriers. A major theme pertaining to successful minority hospice enrollment was an inclusive culture that provided language services, staff cultural training, and a diverse staff. Another major theme was the importance of community outreach activities that extended beyond the medical community and forming relationships with churches, racial/ethnic minority community leaders, and Native American reservations. Conclusion: The importance of incorporating a culture of inclusivity by forming committees, providing language services, and offering culturally competent care emerged in this qualitative study. Building strong external relationships with community groups such as churches is a strategy used to increase racial/ethnic minority utilization of hospice.en_US
dc.language.isoen_USen_US
dc.publisherSAGEen_US
dc.subjecthospiceen_US
dc.subjecthealth care disparityen_US
dc.subjectraceen_US
dc.subjectethnicityen_US
dc.subjectcommunityen_US
dc.title“We Are Here to Assist All Individuals Who Need Hospice Services”: Hospices’ Perspectives on Improving Access and Inclusion for Racial/Ethnic Minoritiesen_US
dc.type.genreJournal (whole)en_US
dc.typeTexten_US
dc.contributor.departmentSchool of Nursing and Health Studiesen_US
dc.rights.statementIn Copyright - Non-Commercial Use Permitteden_US


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