William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA.
Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA.
J Palliat Med. 2022 Mar;25(3):479-487. doi: 10.1089/jpm.2021.0502. Epub 2021 Nov 16.
Racial disparities, including decreased hospice utilization, lower quality symptom management, and poor-quality end-of-life care have been well documented in Black Americans. Improving health equity and access to high-quality serious illness care is a national palliative care (PC) priority. Accomplishing these goals requires clinician reflection, engagement, and large-scale change in clinical practice and health-related policies. In this article, we provide an overview of key concepts that underpin racism in health care, discuss common serious illness disparities in Black Americans, and propose steps to promote the delivery of antiracist PC.
种族差异,包括减少使用临终关怀、症状管理质量较低,以及临终关怀质量较差,这些都在美国黑人中得到了充分记录。提高健康公平性和获得高质量的重病护理是国家姑息治疗(PC)的优先事项。实现这些目标需要临床医生的反思、参与,并在临床实践和与健康相关的政策方面进行大规模变革。在本文中,我们提供了一个概述,说明了医疗保健中种族主义的关键概念,讨论了美国黑人中常见的重病差异,并提出了促进提供反种族主义 PC 的步骤。