Assessing Challenges in End-of-Life Conversations With Patients Utilizing a Public Safety-Net Health Care System

American Journal of Hospice and Palliative Medicine - Tập 32 Số 5 - Trang 528-536 - 2015
Frances R. Nedjat‐Haiem1,2, Iraida V. Carrion3
1#N#1Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA
2#N#2School of Social Work, University of Southern California, Los Angeles, CA, USA
3School of Social Work, University of South Florida, Tampa, FL, USA

Tóm tắt

Multiple factors influence end-of-life (EOL) care discussions that occur in health care systems, within organizations, among individuals working within these systems and in patients and family/friend support networks. This study examined barriers to EOL care discussions as experienced by health care providers working in a public safety-net health care system where the majority of their patients were low-income and immigrant Latinos seeking medical treatment. Qualitative data were collected in South Central Los Angeles through semistructured interviews with 46 health care providers from different disciplines in medicine, nursing, social work, and chaplaincy. The themes indicated communication barriers in the public sector health care setting and sociocultural patient- and family-level factors. All providers made valuable contributions to clarify the complexity of the problems. Universal strategies are needed to improve communication.

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Thông tin
Thông tin xuất bản

American Journal of Hospice and Palliative Medicine

Tập 32 Số 5

528-536

Thông tin tác giả