Providing Appropriate End-of-Life Care to Religious and Ethnic Minorities

Abstract There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end...

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Bibliographic Details
Published in:Mayo Clinic proceedings 2017-01, Vol.92 (1), p.147-152
Main Authors: Partain, Daniel K., MD, Ingram, Cory, MD, Strand, Jacob J., MD
Format: Article
Language:English
Subjects:
Adult
Analysis
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Attitude to Death - ethnology
Attitude to Health - ethnology
Culturally Competent Care - methods
Culturally Competent Care - standards
Ethnic Groups
Female
Gastrointestinal Neoplasms - drug therapy
Gastrointestinal Neoplasms - pathology
Health aspects
Humans
Internal Medicine
Management
Medical care discrimination
Medical care quality
Minorities
Minority Health
Neoplasm Metastasis
Patient Preference - ethnology
Peritoneal Neoplasms - drug therapy
Peritoneal Neoplasms - pathology
Physician-Patient Relations
Professional-Family Relations
Religion and Medicine
Spirituality
Terminal care
Terminal Care - methods
Terminal Care - standards
Truth Disclosure
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Summary:Abstract There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life. Failure to address a patient's cultural and RS needs can lead to diminished quality of care and worse health outcomes. Given the multitude of cultural and RS values, we believe that a framework of cultural and RS curiosity along with a willingness to engage patients in discussions about these elements of their care within an interdisciplinary team should be the goal of all providers who are discussing goals, preferences, and values with patients facing advanced terminal illness.
ISSN:0025-6196
1942-5546
DOI:10.1016/j.mayocp.2016.08.024