Racial/ethnic perspectives on the quality of hospice care

Am J Hosp Palliat Care. 2013 Jun;30(4):347-53. doi: 10.1177/1049909112457455. Epub 2012 Sep 4.

Abstract

Diversity in the US population is increasing, and evaluating the quality of culturally sensitive hospice care is important. A survey design was used to collect data from 743 patients enrolled in hospice or their family members or caregivers. Race/ethnicity was not significantly associated with any of the hospice interventions or outcomes. Patients were less likely to be satisfied with the overall hospice care (OR = 0.23, 95% CI = 0.065-0.796, P = .021) compared to other type of respondents. Satisfaction with emotional support was substantially associated with the increased likelihood of satisfaction with pain management (OR = 3.82, 95% CI = 1.66-8.83, P = .002), satisfaction with other symptom management (OR = 6.17, 95% CI = 2.80-13.64, P < .001), and of overall satisfaction with hospice care (OR = 20.22, 95% CI = 8.64-47.35, P < .001).

Keywords: emotional support; hospice; quality; racial–ethnicity; satisfaction; symptom management.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Black or African American / psychology
  • Black or African American / statistics & numerical data
  • Caregivers / psychology*
  • Centers for Medicare and Medicaid Services, U.S. / economics
  • Centers for Medicare and Medicaid Services, U.S. / standards
  • Cross-Sectional Studies
  • Healthcare Disparities / economics
  • Healthcare Disparities / ethnology*
  • Hospice Care / organization & administration
  • Hospice Care / standards*
  • Hospice Care / trends
  • Humans
  • Length of Stay
  • Pain Management / standards
  • Palliative Care / organization & administration
  • Palliative Care / standards*
  • Palliative Care / trends
  • Patient Satisfaction / ethnology*
  • Quality Indicators, Health Care / economics
  • Quality Indicators, Health Care / standards*
  • Quality Indicators, Health Care / trends
  • Reimbursement Mechanisms / standards
  • Social Support
  • Southeastern United States
  • United States
  • White People / psychology
  • White People / statistics & numerical data