Advanced Directives & End-of-Life Issues for African Americans
Episode 12: Bridging the Gap: Conversations with Dr. Hall
Literature consistently shows lower engagement in advanced-care-planning among ethnic and racial minority groups when compared to Whites. A recent study with a nationally representative sample reported that only 18% of ethnic minority participants completed advance directives compared to 34% of White respondents. Studies in hospital settings also found lower rates of discussion about advanced-care-planning with a physician during the hospitalization among racial/ethnic minority patients when compared to Whites. Given that engagement in advanced-care-planning and end-of life discussions positively influences the quality of life near its end, a lower engagement in these meaningful discussion among ethnic minorities can lead to inadequate care at the last stage of life, exacerbating earlier health disparities. There are also significant differences in the treatment of pain in African Americans, as well as the perception of pain, and potential for abuse.
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Associate Professor of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH
Associate Professor of Internal Medicine, Northeast Ohio Medical University, Rootstown, OH
Assistant Clinical Professor in Medicine, Case Western Reserve University School of Medicine, Cleveland, OH
Director, Center for African American Health, Research, Education & Policy, Cleveland, OH
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Gregory L. Hall, MD: No relevant financial relationships disclosed.
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