Race and birth country are associated with discharge location from hospital: A retrospective cohort study of demographic differences for patients receiving inpatient palliative care

Isenberg, Sarina R.; Bonares, Michael; Kurahashi, Allison; Algu, Kavita; Mahtani, Ramona

doi:10.1016/j.eclinm.2022.101303

Cited by 12 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Analysis of 187 individuals who underwent hospitalized palliative care at a hospital revealed that location of birth and racial group were strongly linked with disposition. 124 Studies have also revealed that minority groups, such as African Americans, Asian Americans, and Hispanics/Latinos seek hospice care less frequently. 125 Cultural variations in the impact of the disease or its mitigation and palliative care among different sections of patients and their families are also often variable in the western world as compared to close-knit societal frameworks as seen in South Asia, Southeast Asia, and the far East.…”

Section: Disparities In Palliative Carementioning

confidence: 99%

See 1 more Smart Citation

Racial disparities in cancer care, an eyeopener for developing better global cancer management strategies

Bharmjeet

Das

2023

Cancer Reports

View full text Add to dashboard Cite

BackgroundIn the last few decades, advancements in cancer research, both in the field of cancer diagnostics as well as treatment of the disease have been extensive and multidimensional. Increased availability of health care resources and growing awareness has resulted in the reduction of consumption of carcinogens such as tobacco; adopting various prophylactic measures; cancer testing on regular basis and improved targeted therapies have greatly reduced cancer mortality among populations, globally. However, this notable reduction in cancer mortality is discriminate and reflective of disparities between various ethnic populations and economic classes. Several factors contribute to this systemic inequity, at the level of diagnosis, cancer prognosis, therapeutics, and even point‐of‐care facilities.Recent FindingsIn this review, we have highlighted cancer health disparities among different populations around the globe. It encompasses social determinants such as status in society, poverty, education, diagnostic approaches including biomarkers and molecular testing, treatment as well as palliative care. Cancer treatment is an active area of constant progress and newer targeted treatments like immunotherapy, personalized treatment, and combinatorial therapies are emerging but these also show biases in their implementation in various sections of society. The involvement of populations in clinical trials and trial management is also a hotbed for racial discrimination. The immense progress in cancer management and its worldwide application needs a careful evaluation by identifying the biases in racial discrimination in healthcare facilities.ConclusionOur review gives a comprehensive evaluation of this global racial discrimination in cancer care and would be helpful in designing better strategies for cancer management and decreasing mortality.

show abstract

Section: Disparities In Palliative Carementioning

confidence: 99%

“…Both, gaps in critical disease treatment and inequities related to palliative care must be understood to eliminate the disparity. Analysis of 187 individuals who underwent hospitalized palliative care at a hospital revealed that location of birth and racial group were strongly linked with disposition 124 …”

Section: Disparities In Palliative Carementioning

confidence: 99%

Racial disparities in cancer care, an eyeopener for developing better global cancer management strategies

Bharmjeet

Das

2023

Cancer Reports

View full text Add to dashboard Cite

show abstract

“…Furthermore, inequities in access to palliative care and health outcomes have been observed between marginalized groups (i.e., groups with different demographic characteristics such as race/ethnicity, sex, gender, income level, linguistic minority status, geography, sexual orientation, etc. ; Canadian Institute for Health Information, 2018; Isenberg et al, 2022;Johnson, 2013;Tyler et al, 2014;Yarnell et al, 2020;Yarnell et al, 2017). Accordingly, understanding subacute-to-home transitions necessitates an equity lens to explore the barriers to accessing care noted above.…”

Section: Introductionmentioning

confidence: 99%

Facilitating Equitable Subacute-to-Home Transitions for Patients Receiving Palliative and/or End-of-Life Care: A Literature Review

McCoy,

Al Hafi,

Downar

et al. 2023

hpj

View full text Add to dashboard Cite

Introduction: As people in subacute facilities approach the end of life, the focus of their care often shifts to comfort as they seek to return home. Interventions that aim to improve hospital-to-home transitions do not generally focus on subacute care. Objective: To summarize the existing literature on subacute-to-home transitions for individuals receiving palliative care near the end of life, and to explore whether these interventions are targeted toward marginalized groups to improve their transition experience. Methods: We searched the MEDLINE, Embase, HealthSTAR, and Cochrane Library electronic databases using terms related to end of life, palliative care, and transitions from subacute facilities to home. We identified 896 records and included 29 articles, 11 of which were intervention articles. We searched the 11 intervention articles for equity stratifiers. Results: Of the 29 included articles, four addressed transitions for end-of-life populations, three discussed family caregiver perspectives, and 11 were intervention studies, including regular home visit follow-ups, individualized transition care plans, and an individualized intervention with an advanced practice nurse. Subacute-to-home interventions showed positive outcomes such as reduced risk of hospital readmissions, reduced length of stays, and improved functional status. However, study limitations included small sample sizes, inconsistent definitions of outcomes, and incompletion due to COVID-19. No studies focused on marginalized groups. Conclusion/Discussion: While there was some literature supporting targeted interventions for subacute-to-home transitions for those receiving palliative care or end-of-life care, the included interventions did not target marginalized groups. Further research in these areas is required.

show abstract

“…Die Palliativpatient*innen und deren Angehörige waren der Interviewerin im Vorfeld nicht bekannt.Trotz großer Bemühungen konnten nur Angehörige mit deutscher Nationalität ohne Migrationserfahrung eingeschlossen werden. Menschen mit Migrationserfahrungen, welche oftmals mit einem erschwerten Zugang zur Palliativversorgung konfrontiert sind[25], konnten trotz großer Bemühungen nicht miteinbezogen werden. Die Perspektive von nicht verwandtschaftlich verbundenen Angehörigen wurde nicht abgebildet.…”

unclassified

„Alleine schaffe ich das nicht…“ – Bedürfnisanalyse der Angehörigen von Palliativpatienten im Entlassungsprozess aus dem Krankenhaus

Hanke,

Doll,

Simon

et al. 2024

Zeitschrift für Palliativmedizin

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Die Studie untersucht die Bedürfnisse und Belastungen der Angehörigen von Palliativpatient*innen im Entlassungsprozess aus dem Krankenhaus, um diesen mit angepassten Angeboten zu verbessern. Methodik Es wurden 10 qualitative Interviews mit Angehörigen von Palliativpatient*innen im Entlassungsprozess geführt und ein Fragebogen zu Bedarfen erhoben. Die Interviews wurden inhaltsanalytisch, der Fragebogen deskriptiv ausgewertet. Ergebnisse Kernthemen waren: Entscheidungsfindung, Organisations- und Informationsbedarf und psychosoziale Bedürfnisse. Aus der als selbstverständlich angesehenen Pflege zu Hause resultieren Versagensängste und ein Informationsbedarf an Unterstützungsmöglichkeiten, beispielsweise der Palliativdienste. Schlussfolgerung Informationsgespräche und -material sowie eine Einbindung in die Pflege im Krankenhaus können die Angehörigen unterstützen. Für die realistische Einschätzung der Pflege zu Hause und externe Unterstützung ist eine rechtzeitige Aufklärung wichtig.

show abstract

Race and birth country are associated with discharge location from hospital: A retrospective cohort study of demographic differences for patients receiving inpatient palliative care

Cited by 12 publications

References 24 publications

Racial disparities in cancer care, an eyeopener for developing better global cancer management strategies

Racial disparities in cancer care, an eyeopener for developing better global cancer management strategies

Facilitating Equitable Subacute-to-Home Transitions for Patients Receiving Palliative and/or End-of-Life Care: A Literature Review

„Alleine schaffe ich das nicht…“ – Bedürfnisanalyse der Angehörigen von Palliativpatienten im Entlassungsprozess aus dem Krankenhaus

Contact Info

Product

Resources

About