Rebecca Anhang Price (
Layla Parast is a statistician at the RAND Corporation in Santa Monica, California.
Health Aff (Millwood). 2017 Jul 1;36(7):1283-1290. doi: 10.1377/hlthaff.2017.0151.
Little is known about racial and ethnic variation in the quality of hospice care. We used data on 292,516 respondents for 2015-16 from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey to assess how the patient and family experience of hospice care differed among black, Hispanic, and white patients. We found that, on average, black and Hispanic patients received care from poorer quality hospices. Within a given hospice, we found that friends and relatives who served as caregivers of black and Hispanic patients reported significantly better hospice care experiences than their peers serving as caregivers of white patients on five of seven outcomes. However, caregivers of black and Hispanic patients reported receiving their desired level of emotional and religious support less often than caregivers of white patients did. As more black and Hispanic patients enroll in hospice care, it is critical to ensure that they have access to high-quality, culturally competent hospice services.
关于临终关怀服务质量在不同种族和民族之间的差异，我们知之甚少。我们使用了 2015-2016 年消费者医疗保健提供者和系统评估（CAHPS）临终关怀调查中 292516 名受访者的数据，评估了黑人和西班牙裔以及白种人患者的临终关怀体验有何不同。我们发现，平均而言，黑人和西班牙裔患者接受的临终关怀服务质量较差。在给定的临终关怀机构中，我们发现，作为黑人和西班牙裔患者的护理人员的朋友和亲戚在七个结果中的五个上报告了明显更好的临终关怀体验，而作为白种人患者的护理人员的同行则没有。然而，黑人和西班牙裔患者的护理人员报告说，他们获得所需的情感和宗教支持的频率低于白种人患者的护理人员。随着越来越多的黑人和西班牙裔患者接受临终关怀，确保他们能够获得高质量、文化上合适的临终关怀服务至关重要。
