Partain Daniel K, Ingram Cory, Strand Jacob J
Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Division of Palliative Medicine, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2017 Jan;92(1):147-152. doi: 10.1016/j.mayocp.2016.08.024.
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.
有压倒性的证据表明,少数种族和族裔群体面临多种医疗保健差异。认识并处理文化和宗教/精神(RS)价值观是为面临严重疾病的患者,尤其是在生命末期,提供目标一致的护理的关键方面。未能满足患者的文化和RS需求可能导致护理质量下降和更差的健康结果。鉴于众多的文化和RS价值观,我们认为,对于所有与晚期绝症患者讨论目标、偏好和价值观的医疗服务提供者而言,一个具备文化和RS好奇心的框架,以及愿意在跨学科团队中与患者就其护理的这些要素进行讨论的意愿,应该成为目标。