Racial/ethnic minority access to end-of-life care: a conceptual framework.


Minority underutilization of hospice care has been well-documented; however, explanations addressing disparities have failed to examine the scope of factors in operation. Drawing from previous health care access models, a framework is proposed in which access to end-of-life care results from an interaction between patient-level, system-level, and societal-level barriers with provider-level mediators. The proposed framework introduces an innovative mediating factor missing in previous models, provider personal characteristics, to better explain care access disparities. This article offers a synthesis of previous research and proposes a framework that is useful to researchers and clinicians working with minorities at end of life.

DOI: 10.1080/01621424.2011.641922

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@article{Laguna2012RacialethnicMA, title={Racial/ethnic minority access to end-of-life care: a conceptual framework.}, author={Jeff Laguna and Susan Milena Enguidanos and Maria Siciliano and Alexis Coulourides-Kogan}, journal={Home health care services quarterly}, year={2012}, volume={31 1}, pages={60-83} }